The present and future enhanced recovery after surgery for bladder cancer

Enhanced Recovery After Surgery (ERAS) protocols have been increasingly used in radical cystectomy over the past few years. While the principles were started in colorectal surgery, they can be easily applied to any surgery. The evidence is overwhelmingly in favor of these principles due to improved outcomes such as length of stay, complications, and cost (Table-1) (1-5). Development and implementation of an ERAS protocol requires multidisciplinary involvement, strong participation of everyone involved, and analysis of outcomes. We discuss our experience in development of ERAS for radical cystectomy, barriers to implementation, results at our institution, and future directions.

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