Effectiveness of Enhanced Recovery After Surgery Protocols for Robot Assisted Radical Prostatectomy: A Systematic Review and Meta-Analysis.
Joshua Bruinsma, Nicholas A Clausen, Rostyslav Nikolenko et al.
✦ AI-curated · Sources linked
In 30 seconds
This systematic review and meta-analysis evaluated the effectiveness of Enhanced Recovery After Surgery (ERAS) protocols in patients undergoing robotic-assisted radical prostatectomy (RARP). Involving 1314 patients, the study found that ERAS protocols significantly reduced length of stay (5.98 vs 7.45 days, Hedges' g -0.68) and improved gastrointestinal recovery without affecting complication rates or operative time.
Key findings
- ERAS protocols reduced length of stay to 5.98 days compared to 7.45 days for standard care.
- Time to flatus was shorter with ERAS at 1.66 days versus 2.03 days.
- Time to defecation improved with ERAS, averaging 2.68 days compared to 3.13 days.
- No significant differences were found in complication rates, operative time, or blood loss.
Why it matters
The findings suggest that ERAS protocols can enhance postoperative recovery in RARP patients, particularly in gastrointestinal function, which may lead to improved patient satisfaction and resource utilization in surgical settings.