Enhanced recovery feasible after partial nephrectomy of renal malignancies

In the partial nephrectomy of renal malignancies, enhanced recovery after surgery (ERAS) is secure and efficient, says an article published in Frontiers in Oncology.

Enhanced recovery after surgery (ERAS), particularly in radical cystectomy and radical prostatectomy, has been popular in recent years and has proven to have benefits. In order to evaluate the safety and effectiveness of ERAS in the use of partial nephrectomy for renal malignancies, Wu Wangjian and colleagues carried out a systematic review and meta-analysis.

From the time of publication until July 15, 2022, Pubmed, Cohrance library, Embase, Web of science, and Chinese databases (CNKI, Wangfang, VIP, and CBM) were systematically searched for all published literature related to the application of improved recovery following surgery in partial nephrectomy for renal tumors. For each piece of included literature, the material's caliber was assessed. Standard Mean Difference (SMD), Weighted mean difference (WMD), and risk ratio (RR) at their 95% confidence intervals were used to show and interpret the data (CI). To provide the conclusions of this study a more objective perspective, the study's shortcomings are finally examined.

The key findings of this study were:

1. 35 pieces of literature, totaling 3171 patients across 19 retrospective cohort studies and 16 randomized controlled trials, were included in this meta-analysis.

2. The ERAS group was found to have advantages in the total hospital stay, postoperative hospital stay, first postoperative bed activity, first postoperative anal exhaust, first postoperative bowel movement, first postoperative food intake, time to drainage tube removal, time to catheter removal, postoperative hemorrhage incidence, total postoperative complication incidence, and postoperative urinary leakage incidence.

In conclusion, in the partial nephrectomy of renal malignancies, ERAS was found to be secure and efficient. ERAS can also lower medical expenses, increase the usage of medical services, and increase the rate at which hospital beds are changed over.

Reference:

Wangjian, W., Tianyi, L., Xiaoqian, M., Di, Z., Chuan, Z., Chao, W., Zijian, D., Tongtong, J., & Fenghai, Z. (2023). Application of enhanced recovery after surgery in partial nephrectomy for renal tumors: A systematic review and meta-analysis. In Frontiers in Oncology (Vol. 13). Frontiers Media SA. https://doi.org/10.3389/fonc.2023.1049294