術後加速恢復(ERAS)應用於攝護腺全切除病人之效果

王啟暐、何承勳*

新光吳火獅紀念醫院 外科部 泌尿科

The Efficacy of Enhanced Recovery after Surgery (ERAS) in Radical Prostatectomy

Chi-Wei Wang、Chen-Hsun Ho*

Division of Urology, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan

Purpose: The Enhanced Recovery after Surgery (ERAS) protocols for urological surgery were proposed since 2013, but the protocols were only for cystectomy. Several protocols for radical prostatectomy have been reported in recent years, but the efficacy is still controversial. Thus, we conducted this study to assessing the efficacy of the ERAS in the patients undergoing radical prostatectomy. 

Materials and Methods: We conducted a retrospective cohort study by collecting 43 patients who underwent laparoscopic radical prostatectomy (LRP) and robotic-assisted radical prostatectomy (RARP) in single center from July 2020 to December 2021. The patients were divided into 2 groups, and 21 patients were in ERAS group and 22 patients were in the control group. The ERAS protocols in our study included the not to perform nasogastric (NG) tube insertion, prevention of perioperative bowel preparation such as oral laxative agents or enema, and early oral diet. The primary outcomes were the length of hospital stay (LOS) and time from operation to first oral diet. The secondary outcomes were the time from operation to first anal exhaust and water intake.

Results: The LOS was significantly shorter in the ERAS group than in the control group. However, there was no statistical difference in the time from operation to first oral diet (P=0.068), the time from operation to first anal exhaust (P=0.779) and water intake(P=0.139).

Conclusions: The ERAS group showed shorter LOS than the conventional group and there was a trend in the time from operation to first oral diet. Considering the small sample size of this study, ERAS applied in the patients undergoing radical prostatectomy may have the benefit in perioperative outcomes.