Bladder cancer and the use of the fast track method in the early rehabilitation of oncological patients (literature review)
https://doi.org/10.17650/1726-9776-2018-14-1-173-178
Abstract
In the last 20 years, a concept of using multimodal programs of early rehabilitation of patients after surgical interventions – Enhanced Recovery After Surgery (ERAS) – has been developed in medicine. In oncological urology, the ERAS protocol is used only in treatment of bladder cancer. At the same time, not all available elements of this program are used despite the fact that in Russia 24.4 % of malignant tumors are urogenital tumors, and bladder cancer comprises one sixth (4.6 %) of them. Frequently, reconstructive plastic surgery is an integral part of bladder cancer treatment, and it’s accompanied by various complications many of which are associated with incorrect tactics of perioperative patient care. This situation can be dramatically improved by a more widespread use of the ERAS protocol. The immediate problem of oncological urology is development of an effective, safe, and available for wide use algorithm of postoperative rehabilitation of patients with malignant tumors of the bladder after cystectomy with cystoplasty.
About the Authors
D. G. Voroshin
Chelyabinsk Regional Clinical Center of Oncology and Nuclear Medicine
Russian Federation
Competing Interests: Конфликтов интересов нет
Russian Federation
42 Blyukhera St., Chelyabinsk 454087
Competing Interests: Конфликтов интересов нет
A. V. Vazhenin
Chelyabinsk Regional Clinical Center of Oncology and Nuclear Medicine
Russian Federation
Competing Interests:
Russian Federation
42 Blyukhera St., Chelyabinsk 454087
Competing Interests:
Отсутствие конфликта интересов
V. E. Khoronenko
P.A. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Center of Radiology, Ministry of Health of Russia
Russian Federation
Competing Interests:
Russian Federation
3 2nd Botkinskiy Proezd, Moscow 125284
Competing Interests:
Отсутствие конфликта интересов
P. A. Karnaukh
Chelyabinsk Regional Clinical Center of Oncology and Nuclear Medicine
Russian Federation
Competing Interests:
Russian Federation
42 Blyukhera St., Chelyabinsk 454087
Competing Interests:
Отсутствие конфликта интересов
References
1. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth 1997;78(5):606– 17. DOI: 10.1093/bja/78.5.606. PMID: 9175983.
2. Kehlet H., Wilmore D.W. Evindens-based surgical care and the evolution of the fasttrack surgery. Ann Surg 2008;248(2):189– 98. DOI: 10.1097/SLA.0b013e31817f2c1a. PMID: 18650627.
3. Sehgal R., Hill A., Deasy J. et al. Fasttrack for the modern colorectal department. World J Surg 2012;36(10):2473–80. DOI: 10.1007/s00268-012-1690-1. PMID: 22736342.
4. Khoronenko V.E., Khomyakov V.M., Baskakov D.S. et al. Options for enhanced recovery after surgery for cancer patients. Doktor.Ru. Anesteziologiya i reanimatologiya. Meditsinskaya reabilitatsiya = Doctor.Ru. Anest hesiology and Critical Care Medicine. Medical Rehabilitation 2016;12(129):53–8. Available at: http://rusmg.ru/images/16-3.pdf. (In Russ.).
5. Malignant tumors in Russia in 2015 (morbidity and mortality). Eds.: А.D. Kaprin, V.V. Starinskiy, G.V. Petrova. Moscow: MNIOI im. P.A. Gertsena – filial FGBU “NMIRTS” Minzdrava Rossii, 2017. 250 p. Available at: http://www.oncology.ru/service/statistics/condition/2016.pdf. (In Russ.).
6. Gustafsson U.O., Scott M.J., Schwenk W. et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Clin Nutr 2012;31(6):783–800. DOI: 10.1016/j.clnu.2012.08.013. PMID: 23099039.
7. Bellmunt J., Orsola A., Leow J.J. et al. Bladder cancer: ESMO Practice Guidelines for diagnosis, treatment and followup. Ann Oncol 2014;25(Suppl 3):40–8. DOI: 10.1093/annonc/mdu223. PMID: 25096609.
8. Vazhenin A.V., Domozhirova A.S., Pshinchenko S.V. et al. Epidemiological features of oncological situation in the Chelyabinsk Region and indicators of the state of oncological care for the population of the Chelyabinsk Region in 2015. Chelyabinsk, 2016. Pр. 14–17. (In Russ.).
9. Urology. Russian clinical guidelines. Eds.: Yu.G. Alyaev, P.V. Glybochko, D.Yu. Pushkar. Moscow: GEOTAR-Media, 2015. Pp. 313–61. Available at: http://www.rosmedlib.ru/book/ISBN9785970431269.html. (In Russ.).
10. Kudryashov G.Yu., Vazhenin A.V., Karnaukh P.A., Misyukevich N.D. Optimization of ileocystoplasty in bladder cancer patients after cystectomy. Onkourologiya = Cancer Urology 2017;13(3):87–94. (In Russ.). DOI: 10.17650/1726-9776-2017-13-3-87-94.
11. De Neve W., Lybeert M.L., Goor C. et al. Radiotherapy for T2 and T3 carcinoma of the bladder: the influence of overall treatment time. Radiother Oncol 1995;36(3):183–8. PMID: 8532904.
12. Kaufman D., Raghavan D., Carducci M. et al. Phase II trial of gemcitabine plus cisplatin in patients with metastatic urothelial cancer. J Clin Oncol 2000;18(9):1921–7. DOI: 10.1200/JCO.2000.18.9.1921. PMID: 10784633.
13. Tan W.S., Lamb B.W., Kelly J.D. Complications of radical cystectomy and orthotopic reconstruction. Adv Urol 2015;2015:323157. DOI: 10.1155/2015/323157. PMID:26697063.
14. Slenzl A., Cowan N.C., De Santis М. et al. The updated EAU guidelines on muscle-invasive and metastatic bladder cancer. Eur Urol 2009;55(4):815–25. DOI: 10.1016/j.eururo.2009.01.002. PMID: 19157687.
15. Stein J.P., Lieskovsky G., Groshen S. et al. Radical cystectomy in the treatment of invasive bladder cancer: long-term results in 1,054 patients. J Clin Oncol 2001;19(3):666–75. DOI: 10.1200/JCO.2001.19.3.666. PMID: 11157016.
16. Pogosyan R.R., Vasil’chenko M.I., Zabelin M.V. et al. Analysis of complications after heterotopic ileocystoplasty and their treatment. Tikhookeanskiy meditsinskiy zhurnal = Pacific Medical Journal 2017;(1):62–3. (In Russ.). DOI: 10.17238/PmJ1609-1175.2017.1.62-63.
17. Hautmann R.E., de Petriconi R., Gottfried H.W. et al. The ileal neobladder: complications and functional results in 363 patients after 11 years of followup. J Urol 1999;161(2):422–7. PMID: 9915417.
18. Zakaria S., Santos F., Dragomir A.S. et al. Postoperative mortality and complications after radical cystectomy for bladder cancer in Quebec: a population-based analysis during the years 2000–2009. Canad Urol Assoc J 2014;8(7–8):259–67. DOI: 10.5489/cuaj.1997. PMID: 25210550.
19. Minardi D., Milanese G., Parri G. et al. Non-muscle invasive high grade urothelial carcinoma of the bladder. Which factors can influence understaging at the time of radical cystectomy? Arch Ital Urol Androl 2016;88(1):13–6. DOI: 10.4081/aiua.2016.1.13. PMID: 27072170.
20. Kim T.H., Sung H.H., Jeon H.G. et al. Oncological outcomes in patients treated with radical cystectomy for bladder cancer: comparison between open, laparoscopic, and robot-assisted approaches. J Endourol 2016;30(7):783–91. DOI: 10.1089/end.2015.0652. PMID: 27055782.
21. Game X., Soulie M., Seguin Ph. et al. Radical cystectomy in patient older than 75 years: assessment of morbidity and mortality. Eur Urol 2001;39(5):525–9. DOI: 10.1159/000052498. PMID: 11464032.
22. VanDlac A.A., Cowan N.G., Chen Y. et al. Timing, incidence and risk factors for venous thromboembolism in patients undergoing radical cystectomy for malignancy: a case for extended duration pharmacological prophylaxis. J Urol 2014;191(4):943–7. DOI: 10.1016/j. juro.2013.10.096. PMID: 24184368.
23. Khomyakov V.M., Khoronenko V.E., Ermoshina A.D. Malnutrition and methods of its correction in patients with malignant tumors of the esophagus and stomach. Onkologiya. Zhurnal im. P.A. Gertsena = Oncology. Journal named after P.A. Herzen 2016;5(5):33–7. (In Russ.). DOI: 10.17116/onkolog20165533-37.
24. Inman B.A., Harel F., Tiguert R. et al. Routine nasogastric tubes are not required following cystectomy with urinary diversion: a comparative analysis of 430 patients. J Urol 2003;170(5):1888–91. DOI: 10.1097/01.ju.0000092500.68655.48. PMID: 14532800.
25. Dorcaratto D., Grande L., Pera M. Enhanced recovery in gastrointestinal surgery: upper gastrointestinal surgery. Dig Surg 2013;30(1):70–8. DOI: 10.1159/000350701. PMID: 23711427.
26. Darenkov S.P., Krivoborodov G.G., Kotov S.V. et al. Tactics of early postoperative follow-up of patients after radical cystectomy with bladder augmentation. Meditsinskiy vestnik Bashkortostana = Bashkortostan Medical Journal 2013;(2):234–7. (In Russ.).
27. Kim J.K., Cho M.C., Ku J.H., Paick J.S. Preperitoneal placement of an inflatable penile prosthesis reservoir for postoperative erectile dysfunction after radical cystoprostatectomy with orthotopic neobladder. Investig Clin Urol 2016;57(5):364–6. DOI: 10.4111/icu.2016.57.5.364. PMID: 27617319.
Review
For citations:
Voroshin D.G., Vazhenin A.V., Khoronenko V.E., Karnaukh P.A. Bladder cancer and the use of the fast track method in the early rehabilitation of oncological patients (literature review). Cancer Urology. 2018;14(1):173-178. (In Russ.) https://doi.org/10.17650/1726-9776-2018-14-1-173-178
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