<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher">РЕМЕДИУМ</journal-id><journal-title-group><journal-title>РЕМЕДИУМ</journal-title></journal-title-group><issn publication-format="print">1561-5936</issn><issn publication-format="electronic">2658-3534</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1765</article-id><article-id pub-id-type="doi">10.32687/1561-5936-2024-28-3-214-221</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Использование принципов ускоренного восстановления в урологической практике. Обзор литературы</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="eastern" xml:lang="ru"><surname>Саркисян</surname><given-names>Армен Джаникович</given-names></name><bio></bio><email>a.sarkisyan@rambler.ru</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="eastern" xml:lang="ru"><surname>Даренков</surname><given-names>Сергей Петрович</given-names></name><bio></bio><email>darenkov@list.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff id="aff-1">Долгопрудненская больница, Долгопрудный, Россия</aff><aff id="aff-2">Центральная государственная медицинская академия Управления делами Президента, Москва, Россия</aff><pub-date date-type="epub" iso-8601-date="2024-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2024</year></pub-date><issue>3</issue><fpage>214</fpage><lpage>221</lpage><history><pub-date date-type="received" iso-8601-date="2025-10-16"><day>16</day><month>10</month><year>2025</year></pub-date></history><permissions><copyright-statement>Copyright © 2024, АО "Шико"</copyright-statement><copyright-year>2024</copyright-year></permissions><abstract>Концепция ускоренного восстановления после операции (УВПО) в настоящее время применяется у пациентов различного хирургического профиля, в том числе урологического. В статье рассмотрен мировой опыт хирургического лечения пациентов с различными урологическими заболеваниями при внедрении протокола УВПО. Показано, что использование данной концепции способствует статистически значимому снижению продолжительности пребывания в стационаре, в некоторых случаях количества осложнений и повторных госпитализаций, а также снижению стоимости лечения. Внедрение концепции УВПО в повседневную урологическую практику расширяет возможности быстрого и эффективного восстановления после операции, снижает стоимость стационарной медицинской помощи без ущерба для качества.</abstract><kwd-group xml:lang="en"><kwd>enhanced recovery after surgery</kwd><kwd>radical cystectomy</kwd><kwd>radical prostatectomy</kwd><kwd>radical nephrectomy</kwd><kwd>transurethral resection of the prostate</kwd><kwd>percutaneous nephrolithotripsy</kwd><kwd>complications</kwd><kwd>length of hospital stay</kwd><kwd>cost</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>концепция ускоренного восстановления после операции</kwd><kwd>радикальная цистэктомия</kwd><kwd>радикальная простатэктомия</kwd><kwd>радикальная нефрэктомия</kwd><kwd>трансуретральная резекция простаты</kwd><kwd>чрескожная нефролитотрипсия</kwd><kwd>осложнения</kwd><kwd>продолжительность пребывания в стационаре</kwd><kwd>стоимость</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br. J. Anaesth. 1997;78(5):606–617. DOI: 10.1093/bja/78.5.606</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Kehlet H., Mogensen T. Hospital stay of 2 days after open sigmoidectomy with a multimodal rehabilitation programme. Br. J. Surg. 1999;86(2):227–230. DOI: 10.1046/j.1365-2168.1999.01023.x</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Muehling B. M., Halter G., Lang G. et al. Prospective randomized controlled trial to evaluate «fast-track» elective open infrarenal aneurysm repair. Langenbecks Arch. Surg. 2008;393(3):281–287. DOI: 10.1007/s00423-008-0284-8</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Munitiz V., Martinez-de-Haro L. F., Ortiz A. et al. Effectiveness of a written clinical pathway for enhanced recovery after transthoracic (Ivor Lewis) oesophagectomy. Br. J. Surg. 2010;97(5):714–748. DOI: 10.1002/bjs.6942</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Sharipova V. H., Bokiev K.Sh., Berdiev N. F., Mihliev A. N. ERAS protocol — time to reconsider! Shoshilinch tibbiyot axborotnomasi. 2021;14 (6):93–99. DOI: 10.54185/TBEM/vol14_iss6/a17</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Lohsiriwat V. Impact of an enhanced recovery program on colorectal cancer surgery. Asian Pac. J. Cancer Prev. 2014;15(8):3825–3828. DOI: 10.7314/apjcp.2014.15.8.3825</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Azhar R. A., Bochner B., Catto J. et al. Enhanced recovery after urological surgery: a contemporary systematic review of outcomes, key elements, and research needs. Eur. Urol. 2016;70(1):176–187. DOI: 10.1016/j.eururo.2016.02.051</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Daneshmand S., Ahmadi H., Schuckman A. K. et al. Enhanced recovery protocol after radical cystectomy for bladder cancer. J. Urol. 2014;192(1):50–55. DOI: 10.1016/j.juro.2014.01.097</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Karl A., Buchner A., Becker A. et al. A new concept for early recovery after surgery for patients undergoing radical cystectomy for bladder cancer: results of a prospective randomized study. J. Urol. 2014;191(2):335–340. DOI: 10.1016/j.juro.2013.08.019</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Nabhani J., Ahmadi H., Schuckman A. K. et al. Cost analysis of the enhanced recovery after surgery protocol in patients undergoing radical cystectomy for bladder cancer. Eur. Urol. Focus. 2016;2(1):92–96. DOI: 10.1016/j.euf.2015.06.009</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Pavlov V. N., Tarasenko A. I., Korelov Yu. A. et al. Principles of the program of enhanced recovery of patients after radical prostatectomy. Saratovskij nauchno-medicinskij zhurnal. 2019;15(2):324–327.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Gralla O., Haas F., Knoll N. et al. Fast-track surgery in laparoscopic radical prostatectomy: basic principles. World J. Urol. 2007;25(2):185–191. DOI: 10.1007/s00345-006-0139-2</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Recart A., Duchene D., White P. F. et al. Efficacy and safety of fast-track recovery strategy for patients undergoing laparoscopic nephrectomy. J. Endourol. 2005;19(10):1165–1169. DOI: 10.1089/end.2005.19.1165</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Mueller E. J., Zeidman E. J., Desmond P. M. et al. Reduction of length of stay and cost of transurethral resection of the prostate by early catheter removal. Br. J. Urol. 1996;78(6):893–896. DOI: 10.1046/j.1464-410x.1996.01614.x</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Prasopsuk S., Tunruttanakul S. Safety of a first-day catheter removal after transurethral resection of the prostate (TURP): a propensity score-matched historical control study. Insight Urology. 2021;42:40–45. DOI: 10.52786/isu.a.21</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Li Q., Wan L., Liu S. et al. Clinical efficacy of enhanced recovery after surgery in percutaneous nephrolithotripsy: a randomized controlled trial. BMC Urol. 2020;20(1):162. DOI: 10.1186/s12894-020-00728-w</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Lei J., Huang K., Dai Y., Yin G. Evaluating outcomes of patient-centered enhanced recovery after surgery (ERAS) in percutaneous nephrolithotomy for staghorn stones: an initial experience. Front. Surg. 2023;10:1138814. DOI: 10.3389/fsurg.2023.1138814</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Pang K. H., Groves R., Venugopal S. et al. Prospective implementation of enhanced recovery after surgery protocols to radical cystectomy. Eur. Urol. 2018;73(3):363–371. DOI: 10.1016/j.eururo.2017.07.031</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Tyson M. D., Chang S. S. Enhanced recovery pathways versus standard care after cystectomy: a meta-analysis of the effect on perioperative outcomes. Eur. Urol. 2016;70(6):995–1003. DOI: 10.1016/j.eururo.2016.05.031</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Tan W. S., Tan M. Y., Lamb B. W. et al. Intracorporeal robot-assisted radical cystectomy, together with an enhanced recovery programme, improves postoperative outcomes by aggregating marginal gains. BJU Int. 2018;121(4):632–639. DOI: 10.1111/bju.14073</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Bazargani S. T., Ghodoussipour S., Tse B. et al. The association between intraoperative fluid intake and postoperative complications in patients undergoing radical cystectomy with an enhanced recovery protocol. World J. Urol. 2018;36(3):401–407. DOI: 10.1007/s00345-017-2164-8</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Matulewicz R. S., Patel M., Jordan B. J. et al. Transversus abdominis plane blockade as part of a multimodal postoperative analgesia plan in patients undergoing radical cystectomy. Bladder Cancer. 2018;4(2):161–167. DOI: 10.3233/BLC-170157</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Lin T., Li K., Liu H. et al. Enhanced recovery after surgery for radical cystectomy with ileal urinary diversion: a multi-institutional, randomized, controlled trial from the Chinese bladder cancer consortium. World J. Urol. 2018;36(1):41–50. DOI: 10.1007/s00345-017-2108-3</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Xu Y., Liu A., Chen L. et al. Enhanced recovery after surgery (ERAS) pathway optimizes outcomes and costs for minimally invasive radical prostatectomy. J. Int. Med. Res. 2020;48(6):300060520920072. DOI: 10.1177/0300060520920072</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Nosov A. K., Reva S. A., Berkut M. V., Petrov S. B. Early recovery program in the radical surgical treatment of patients with prostate cancer: experience of the specialized hospital. Onkourologija. 2016;12(4):60–69. DOI: 10.17650/1726-9776-2016-12-4-60-69</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Chen S., He Z., Yao S. et al. Enhanced recovery after surgery protocol optimizes results and cost of laparoscopic radical nephrectomy. Front. Oncol. 2022;12:840363. DOI: 10.3389/fonc.2022.840363</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Abou-Haidar H., Abourbih S., Braganza D. et al. Enhanced recovery pathway for radical prostatectomy: Implementation and evaluation in a universal healthcare system. Can. Urol. Assoc. J. 2014;8(11-12):418–423. DOI: 10.5489/cuaj.2114</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Sánchez Merino J. M., Parra Muntaner L., Gómez Cisneros S. C. et al. Implementation of a clinical pathway for transurethral resection in benign prostatic hyperplasia. Arch. Esp. Urol. 2002;55(2):131–144.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Shu L., Ao P., Zhang Z. et al. Flexible ureteroscopic lithotripsy based on the concept of enhanced recovery after surgery: a single-centered retrospective study. Urol. J. 2022;19(4):268–273. DOI: 10.22037/uj.v19i.7118</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Greco M., Capretti G., Beretta L. et al. Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials. World J. Surg. 2014;38(6):1531–1541. DOI: 10.1007/s00268-013-2416-8</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Xiong J., Szatmary P., Huang W. et al. Enhanced recovery after surgery program in patients undergoing pancreaticoduodenectomy: a PRISMA-compliant systematic review and meta-analysis. Medicine (Baltimore). 2016;95(18):e3497. DOI: 10.1097/MD.0000000000003497</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Ni T. G., Yang H. T., Zhang H. et al. Enhanced recovery after surgery programs in patients undergoing hepatectomy: a meta-analysis. World J. Gastroenterol. 2015;21(30):9209–9216. DOI: 10.3748/wjg.v21.i30.9209</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>Bazargani S. T., Djaladat H., Ahmadi H. et al. Gastrointestinal complications following radical cystectomy using enhanced recovery protocol. Eur. Urol. Focus. 2018;4(6):889–894. DOI: 10.1016/j.euf.2017.04.003</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>Kotov S. V., Khachatryan A. L., Guspanov R. I. et al. Comparative analysis of the usage eras protocol after radical cystectomy. Jeksperimental&amp;apos;naja i klinicheskaja urologija. 2020;(2):78–83. DOI: 10.29188/2222-8543-2020-12-2-78-83</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>Altobelli E., Buscarini M., Gill H. S., Skinner E. C. Readmission rate and causes at 90-day after radical cystectomy in patients on early recovery after surgery protocol. Bladder Cancer. 2017;3(1):51–56. DOI: 10.3233/BLC-160061</mixed-citation></ref><ref id="B36"><label>36.</label><mixed-citation>Chiang H. A., Cheng P. J., Speed J. M. et al. Implementation of a perioperative venous thromboembolism prophylaxis program for patients undergoing radical cystectomy on an enhanced recovery after surgery protocol. Eur. Urol. Focus. 2020;6(1):74–80. DOI: 10.1016/j.euf.2018.08.025</mixed-citation></ref><ref id="B37"><label>37.</label><mixed-citation>Joliat G. R., Labgaa I., Petermann D. et al. Cost-benefit analysis of an enhanced recovery protocol for pancreaticoduodenectomy. Br. J. Surg. 2015;102(13):1676–1683. DOI: 10.1002/bjs.9957</mixed-citation></ref><ref id="B38"><label>38.</label><mixed-citation>Joliat G. R., Labgaa I., Hübner M. et al. Cost-benefit analysis of the implementation of an enhanced recovery program in liver surgery. World J. Surg. 2016;40(10):2441–2450. DOI: 10.1007/s00268-016-3582-2</mixed-citation></ref><ref id="B39"><label>39.</label><mixed-citation>Nelson G., Kiyang L. N., Crumley E. T. et al. Implementation of Enhanced Recovery After Surgery (ERAS) across a provincial healthcare system: the ERAS Alberta colorectal surgery experience. World J. Surg. 2016;40(5):1092–1103. DOI: 10.1007/s00268-016-3472-7</mixed-citation></ref><ref id="B40"><label>40.</label><mixed-citation>Chipollini J., Tang D. H., Hussein K. et al. Does implementing an enhanced recovery after surgery protocol increase hospital charges? Comparisons from a radical cystectomy program at a specialty cancer center. Urology. 2017;105:108–112. DOI: 10.1016/j.urology.2017.03.023</mixed-citation></ref><ref id="B41"><label>41.</label><mixed-citation>Semerjian A., Milbar N., Kates M. et al. Hospital charges and length of stay following radical cystectomy in the enhanced recovery after surgery era. Urology. 2018;111:86–91. DOI: 10.1016/j.urology.2017.09.010</mixed-citation></ref><ref id="B42"><label>42.</label><mixed-citation>Wei C., Wan F., Zhao H. et al. Application of enhanced recovery after surgery in patients undergoing radical cystectomy. J. Int. Med. Res. 2018;46(12):5011–5018. DOI: 10.1177/0300060518789035</mixed-citation></ref><ref id="B43"><label>43.</label><mixed-citation>Ljungqvist O., Scott M., Fearon K. C. Enhanced recovery after surgery: a review. JAMA Surg. 2017;152(3):292–298. DOI: 10.1001/jamasurg.2016.4952</mixed-citation></ref></ref-list></back></article>
