title: Enhanced recovery protocols in urological surgery: a systematic review.
abstract: BACKGROUND
  The principles of enhanced recovery after surgery (ERAS) protocols have been developed to optimize care and facilitate recovery after major surgery. The purpose of this systematic review is to present an up-to-date assessment of the perioperative cares in complex urological surgery from the available evidence and ERAS group recommendations.
  
  
  METHODS
  Systematic searches of PubMed, Embase, Cochrane library and conference abstracts and bibliographies databases.
  
  
  RESULTS
  A total of six studies were identified that met the inclusion criteria. Two examined the role of ERAS in radical cystectomy, and the rest examined its role in renal surgery (open, laparoscopic or partial nephrectomy). These studies demonstrated a reduction in duration of inpatient stays with no increase in morbidity in ERAS groups compared with traditional care.
  
  
  CONCLUSIONS
  ERAS protocols can reduce the length of hospital stay after major urological surgery, without increasing morbidity or mortality.
authors.affiliation: Urology Department, Ninewells Hospital, Dundee, United Kingdom.
authors.forename: Domenic
authors.initials: D
authors.lastname: Di Rollo
authors.forename: Aza
authors.initials: A
authors.lastname: Mohammed
authors.forename: Alexander
authors.initials: A
authors.lastname: Rawlinson
authors.forename: Jayne
authors.initials: J
authors.lastname: Douglas-Moore
authors.forename: John
authors.initials: J
authors.lastname: Beatty
mesh_terms: D002985:Clinical Protocols; D015331:Cohort Studies; D015653:Cystectomy / Q000009:adverse effects; D004434:Early Ambulation; D006801:Humans; D007902:Length of Stay; D009392:Nephrectomy / Q000009:adverse effects; D010359:Patient Readmission; D019990:Perioperative Care / Q000379:methods*; D016032:Randomized Controlled Trials as Topic