1
|
Domínguez A, Muñoz-Rodríguez J, Martos R, Parejo V, Prera Á, Tremps C, Bonfill T, Del Pino C, Augé A, Prats J. Progressive perioperative benefits of laparoscopy in combination with an ERAS (Enhanced Recovery After Surgery) protocol in radical cystectomy with ileal conduit. Actas Urol Esp 2021; 45:289-299. [PMID: 33546903 DOI: 10.1016/j.acuro.2020.10.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 10/11/2020] [Accepted: 10/30/2020] [Indexed: 12/20/2022]
Abstract
INTRODUCTION Although in the recent years, laparoscopy and Enhanced Recovery After Surgery (ERAS) protocols have improved postoperative recovery in radical cystectomy (RC), the clinical efficacy of their association remains unclear. Our objective is to analyze the possible benefits obtained from laparoscopic RC (LRC) and its subsequent combination with an ERAS (ERAS-LRC) protocol compared to open RC (ORC). MATERIAL AND METHODS We analyzed 187 consecutive RCs with ileal conduit performed in our center, of which 139 met the inclusion criteria: 47 ORC, 39 LRC (both with conventional protocol) and 52 ERAS-LRCs. RESULTS No significant differences were found regarding age, sex, BMI and ASA score between groups. ERAS-LRC obtained a shorter length of stay than LRC and ORC (median 8 [7-10]) vs. 13 [10-17] vs. 15 [13-19.5] days, respectively; P<.001). ERAS-LRC had a shorter stay in the ICU and less days of nasogastric tube (P<.001). Postoperative complications and readmission rates were similar among groups. Multivariate logistic regression showed that absence of complications, younger age and ERAS behaved as independent factors for shorter hospital stay, while ERAS was the only independent factor of lower readmission rate at 90 days. CONCLUSIONS Although LRC presented perioperative benefits compared to ORC, the results were better after the implementation of an ERAS protocol. ERAS protocol had stronger impact on recovery than the surgical approach of the procedure.
Collapse
Affiliation(s)
- A Domínguez
- Servicio de Urología, Hospital Universitari Parc Taulí, Universitat Autònoma de Barcelona (UAB) , Sabadell, Barcelona, España.
| | - J Muñoz-Rodríguez
- Servicio de Urología, Hospital Universitari Parc Taulí, Universitat Autònoma de Barcelona (UAB) , Sabadell, Barcelona, España
| | - R Martos
- Servicio de Urología, Hospital Universitari Parc Taulí, Universitat Autònoma de Barcelona (UAB) , Sabadell, Barcelona, España
| | - V Parejo
- Servicio de Urología, Hospital Universitari Parc Taulí, Universitat Autònoma de Barcelona (UAB) , Sabadell, Barcelona, España
| | - Á Prera
- Servicio de Urología, Hospital Universitari Parc Taulí, Universitat Autònoma de Barcelona (UAB) , Sabadell, Barcelona, España
| | - C Tremps
- Servicio de Anestesia, Hospital Universitari Parc Taulí, Universitat Autònoma de Barcelona (UAB), Sabadell, Barcelona, España
| | - T Bonfill
- Servicio de Oncología, Hospital Universitari Parc Taulí, UAB, Sabadell, Barcelona, España
| | - C Del Pino
- Departamento de Enfermería Estomaterapeuta, Hospital Universitari Parc Taulí, UAB, Sabadell, Barcelona, España
| | - A Augé
- Servicio de Enfermería, Hospital Universitari Parc Taulí, UAB, Sabadell, Barcelona, España
| | - J Prats
- Servicio de Urología, Hospital Universitari Parc Taulí, Universitat Autònoma de Barcelona (UAB) , Sabadell, Barcelona, España
| |
Collapse
|
2
|
Perez Valderrama B, Castellano Gauna D, Pinto Marin A, Mellado Gonzalez B, Puente J, Climent Duran M, Domènech M, Vazquez Mazon F, Perez Gracia J, Bonfill T, Morales Barrera R, Ballester Navarro I, Garcia del Muro X, Maroto P, Juan Vidal O, Rodriguez-Vida A, Bellmunt J. LBA27 Phase II multicenter, randomized study to evaluate efficacy and safety of avelumab with gemcitabine/carboplatin (CG) vs CG alone in patients with unresectable or metastatic urothelial carcinoma (mUC) who are ineligible to receive cisplatin-based therapy. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.2256] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
|
3
|
Carles J, Alonso T, Mellado Gonzalez B, Mendez Vidal M, Vazquez Estevez S, González del Alba A, Piulats J, Borrega García P, Gallardo E, Morales Barrera R, Paredes P, Reig O, Garcías de España C, Collado R, Bonfill T, Suarez C, Malfettone A, Garde J. 639P 223Ra in asymptomatic patients (pts) with metastatic castration-resistant prostate cancer (mCRPC) who progressed to first-line abiraterone acetate or enzalutamide. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
|
4
|
Hoffman-Censits J, Rosenberg J, van Der Heijden M, Dreicer R, Perez Gracia J, Petrylak D, Retz M, Sabbatini R, Naglieri E, Caserta C, Maruzzo M, Iacovelli R, Galli L, McDermott R, Morales Barrera R, Bonfill T, De Ducla S, Ding B, Linsenmeier J, Sternberg C. Clinical outcomes by sex with atezolizumab (atezo) monotherapy in patients (pts) with locally advanced/metastatic urothelial carcinoma (mUC). Ann Oncol 2019. [DOI: 10.1093/annonc/mdz249.026] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
5
|
Nieva M, Fabregat C, Tous S, Mena M, Teulé A, Lozano A, León X, Guix M, Bonfill T, Mesía R, Alemany L, Taberna M. Real-world data of clinicopathologic characteristics of young oropharyngeal cancer patients. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz252.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
6
|
Rodríguez-Vida A, Pérez-Gracia J, Taus A, Bonfill T, Vázquez-Mazón F, Galtes S, Pons B, Cano L, Macia S, Maroto P, Bellmunt J. Phase II study of paclitaxel and TAK-228 in metastatic urothelial carcinoma and the impact of PI3K-mTOR pathway genomic alterations. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy283.126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
7
|
Taberna M, Torres M, Alejo M, Mena M, Tous S, Marquez S, Pavon M, Leon X, Garcia J, Guix M, Hijano R, Bonfill T, Aguilà A, Lozano A, Mesia Nin R, Alemany L, Bravo I. The use of HPV16-E5, EGFR and pEGFR as prognostic biomarkers for oropharyngeal cancer patients. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy287.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
8
|
Rosado M, Muñoz J, Dominguez A, García D, Gallardo E, Bonfill T, Costa I, Prera A, Hannaoui N, Gonzalez J, Abad C, Vicente E, Centeno C, Capdevila M, De Verdonces L, Parejo V, Planelles P, Ferran A, Prats J. Impact of sarcopenia on the global survival of patients with prostate cancer with metastatic debut treated with androgenic-deprivation therapy. Clin Nutr 2018. [DOI: 10.1016/j.clnu.2018.06.1643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
|
9
|
Bonet M, Bonfill T, Nuñez M, De Verdonces L, Mur E, Gallardo E, Fernandez-Morales L, Aguilar A, Prats J, Arenas M. Curative radiation therapy for very elderly bladder cancer patients with localized disease. Clin Transl Oncol 2017; 20:899-905. [DOI: 10.1007/s12094-017-1804-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Accepted: 11/09/2017] [Indexed: 10/18/2022]
|
10
|
Pastor M, Lopez Pousa A, del Barco E, Perez Segura P, Astorga BG, Castelo B, Bonfill T, Martinez Trufero J, Grau JJ, Mesia R. SEOM clinical guideline in nasopharynx cancer (2017). Clin Transl Oncol 2017; 20:84-88. [PMID: 29098554 PMCID: PMC5785612 DOI: 10.1007/s12094-017-1777-0] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2017] [Accepted: 10/17/2017] [Indexed: 11/26/2022]
Abstract
Nasopharyngeal carcinoma (NPC) is distinct from other cancers of the head and neck in biology, epidemiology, histology, natural history, and response to treatment. Radiation therapy is an essential component of curative-intent of non-disseminated disease and the association of chemotherapy improves the rates of survival. In the case of metastatic disease stages, treatment requires platinum/gemcitabine-based chemotherapy and patients may achieve a long survival time.
Collapse
Affiliation(s)
- M. Pastor
- Servicio de Oncología Médica, Hospital La Fe de Valencia, Valencia, Spain
| | - A. Lopez Pousa
- Servicio de Oncología Médica - IIBSP, Hospital Sant Pau, Barcelona, Spain
| | - E. del Barco
- Servicio de Oncología Médica Complejo Asistencial Universitario de Salamanca, Salamanca, Spain
| | - P. Perez Segura
- Servicio de Oncología Médica Hospital Clínico San Carlos, Madrid, Spain
| | - B. Gonzalez Astorga
- Servicio de Oncología Médica Hospital Universitario San Cecilio, Granada, Spain
| | - B. Castelo
- Servicio de Oncología Médica Hospital Universitario La Paz, Madrid, Spain
| | - T. Bonfill
- Servicio de Oncología Médica Corporació Sanitària Parc Taulí, Sabadell, Spain
| | - J. Martinez Trufero
- Servicio de Oncología Médica Hospital Universitario Miguel Servet, Saragossa, Spain
| | - J. Jose Grau
- Servicio de Oncología Médica, Hospital Clínic i Provincial de Barcelona, Barcelona, Spain
| | - R. Mesia
- Servicio de Oncología Médica, Institut Català d’Oncologia – Badalona, Barcelona, Spain
| |
Collapse
|
11
|
Font R, Espinas J, Sola J, Layos L, Tobena M, Capdevila J, Martinez M, Alfaro J, Bonfill T, Albanell J, Paez D, Dotor E, Manchon-Walsh P, Andres JB. 2059 Adherence to oral therapy in rectal cancer patients in Catalonia, Spain. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)30982-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
12
|
Bonet M, Bonfill T, Folgar A, Nuñez M, De Verdonces L, Gallardo E, Fernandez-Morales L, Bastús R, Aguilar A, Prats J. PO-0761: Trimodality for bladder preservation in very elderly patients. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)40753-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
13
|
Arias F, Hernández I, Asín G, Contreras J, Villar E, Pérez A, Casado V, Bonfill T, Vera R. PO-092: Phase II study of TPF and cetuximab+RT in locally advanced laryngeal/hypopharyngeal carcinoma. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)34852-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
14
|
Suarez C, Gallardo E, Rodon Ahnert J, Guix M, Bonfill T, Pons F, Beltran M, Moya I, Galtes S, Albanell J, Carles J, Bellmunt J. Phase I study of sunitinib in combination with gemcitabine/capecitabine for the first-line treatment of metastatic or unresectable renal cell carcinoma. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.e15095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
15
|
Escamilla Y, Aguilà A, Mur E, Bonfill T, Rosell R, Diaz J, Saiz J, Cardesin A, Cardelus S, Martinez A. BASALOID SQUAMOUS CELL CARCINOMA IN OUR ENT DEPARTMENT: A RETROSPECTIVE REVIEW OF 24 PATIENTS. Radiother Oncol 2011. [DOI: 10.1016/s0167-8140(11)70093-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
16
|
Moya I, Dalmau E, Seguí M, García Y, Bonfill T, Pericay C, Fernández L, Querol R, Pampols M, Saigí E. Efficacy and safety of intrapericardial bleomycin for malignant pericardial effusion. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.e19687] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
17
|
Pisa A, Pericay C, Losa F, Nogué M, Alfaro J, Dotor E, Bonfill T, Querol R, MoyaHorno I, Saigí E. 6532 Prospective study of docetaxel in combination with cisplatin and an oral fluoropyrimidine in patients with gastric and esohagogastric junction adenocarcinoma. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)71254-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
18
|
Pericay C, Querol R, Moya-Horno I, Pisa A, Dotor E, Casalots A, Bombardó J, Bonfill T, Saigí E. 6116 Epidermal growth factor receptor (EGFR) expression in stage II-III colon carcinoma (CC) – nine years of follow-up. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)71211-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|