title: Enhanced recovery pathway following radical cystectomy.
abstract: OBJECTIVE
  To evaluate perioperative enhanced recovery protocols for patients undergoing radical cystectomy and urinary diversion and describe our unique protocol.
  
  
  RESULTS
  Radical cystectomy is a morbid procedure with rather long hospital stay and complication rates. The main reason for lengthy hospital stay is bowel complication including paralytic ileus. Different perioperative care plans have been recommended to decrease hospital stay and complication rate. Most of this recovery plans focus on enhancing gastrointestinal function recovery, pain management and early mobility.
  
  
  CONCLUSIONS
  Enhanced recovery after surgery protocol includes pre, intra and postoperative evidence-based modifications for improving perioperative care of cystectomy patients. Significant shortening of hospital stay without increasing early complication or readmission rate could be achieved safely in most of the patients.
authors.affiliation: Norris Comprehensive Cancer Center, USC Institute of Urology, Institute of Urology, Los Angeles, California, USA.
authors.forename: Hooman
authors.initials: H
authors.lastname: Djaladat
authors.forename: Siamak
authors.initials: S
authors.lastname: Daneshmand
mesh_terms: D015653:Cystectomy / Q000009:adverse effects; D006801:Humans; D007902:Length of Stay; D019990:Perioperative Care; D011183:Postoperative Complications / Q000503:physiopathology / Q000517:prevention & control; D020127:Recovery of Function; D013997:Time Factors; D016896:Treatment Outcome; D014547:Urinary Diversion / Q000009:adverse effects