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Abstract:
BACKGROUND:To evaluate the feasibility and effect of implementing enhanced recovery after surgery (ERAS) in patients undergoing radical cystectomy (RC) and urinary diversion. MATERIALS AND METHODS:Since October 2016, a 15-point ERAS protocol has been implemented for patients undergoing elective RC and urinary diversion at Fudan University Shanghai Cancer Center (FUSCC). We retrospectively assessed patients who underwent RC performed between January 2014 and June 2018. The effects of implanting ERAS for RC were validated. RESULTS:A total of 443 patients were included. The ERAS and non-ERAS groups included 185 and 258 patients, respectively. There was no significant difference in the patients' demographic characteristics, operative variables, perioperative systemic inflammation-based scores or mortality rates. Compared with the non-ERAS group, our study showed decreases in intraoperative blood loss volumes and transfusion rates in the ERAS group. Patients in the ERAS group also had earlier times to tolerate a clean liquid diet intake, first ambulation and first flatus. The incidences of postoperative pneumonia, urine leakage, intestinal obstruction and deep venous thrombosis were also significantly lower in the ERAS group. The time to pelvic drainage tube removal and the length of stay (LOS) were significantly shorter in the ERAS group than in the non-ERAS group, and the ERAS group also had a significantly lower incidence of 30-day readmission. CONCLUSIONS:The results of this study suggest that ERAS protocols can accelerate the rehabilitation of patients undergoing RC, reduce the incidence of postoperative complications, shorten the LOS, and are safe and feasible in the field of RC. This study provides experience from FUSCC to further optimize ERAS protocols for patients with bladder cancer.
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最新影响因子:4.037 | 期刊ISSN:0748-7983 | CiteScore: |
出版周期:Monthly | 是否OA:YES | 出版年份:1985 |
期刊官方网址:http://www.ejso.com/
自引率:5.50% | 研究方向:医学-外科 |
出版地区:ENGLAND |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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Surgical Oncology has finally come of age and EJSO continues to play a major role in dissemination of information and knowledge relating to this surgical specialty. Published eight times a year, it presents original articles and state-of-the-art reviews of immediate interest to surgical oncologists. In addition, papers are published on chemotherapy, radiotherapy, epidemiology and pathology of cancer. The articles published also reflect the importance of communication between the laboratory and the clinician. Features Include: Clinical Trials Section Clinical Debate Section Early 'fast-track' publication Regular Reviews Education Section Research Areas Include: Epidemiology and preventive aspects of oncology Diagnosis, including imaging All aspects of therapy, including radiotherapy and chemotherapy Application of new equipment to surgical and clinical oncology Methods of assessing results of treatment Case reports that advance clinical and pathological knowledge Computing in relation to oncology EJSO is abstracted/indexed by: Index Medicus; EMBASE; ASCA; Science Citation Index.
外科肿瘤学终于成熟了,EJSO继续在传播与该外科相关的信息和知识方面发挥着重要作用。每年出版八次,向外科肿瘤学家提供最新的文章和最新的评论。此外,论文还发表在化疗、放疗、流行病学和癌症病理学方面。发表的文章也反映了实验室和临床医生之间交流的重要性。特点包括:临床试验部分临床辩论部分早期“快速通道”出版物定期回顾教育部分研究领域包括:流行病学和肿瘤诊断预防方面,包括影像学治疗的各个方面,包括放射治疗和化疗新设备在外科和临床中的应用。肿瘤学评估肿瘤治疗病例报告结果的方法,推进了与肿瘤学EJSO相关的临床和病理学知识计算,其摘要/索引方法为:索引Medicus;EMBASE;ASCA;科学引文索引。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
ONCOLOGY(肿瘤学) 3区 SURGERY(外科学) 2区 |
87/223 24/200 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
278 | 220 | 58 |
引文计数(2018)
文献(2015-2017)
次引用
篇文献
序号 | 类别 | 排名 | 百分位 |
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研究方向:基础 临床 肿瘤
审稿时间: 2个月内 接受率: 比较困难(25%命中)
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研究方向:肿瘤
审稿时间: 24个月内 接受率: 非常困难(几乎不命中)
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接受率: 比较困难(25%命中)
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研究方向:外科 肿瘤
接受率: 一般容易(75%命中)
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审稿时间: 3个月内 接受率: 中等(50%命中)
影响因子:2.995
ISSN:0028-3940
研究方向:医学-核医学
影响因子:2.324
ISSN:1051-2284
研究方向:医学-核医学
影响因子:3.156
ISSN:1869-1439
研究方向:CLINICAL NEUROLOGY-RADIOLOGY, NUCLEAR MEDICINE & M
影响因子:4.6
ISSN:0150-9861
研究方向:医学-核医学
影响因子:1.764
ISSN:1591-0199
研究方向:CLINICAL NEUROLOGY-RADIOLOGY, NUCLEAR MEDICINE & M
影响因子:4.966
ISSN:0195-6108
研究方向:医学-核医学
影响因子:3.005
ISSN:0301-0449
研究方向:医学-核医学
影响因子:2.396
ISSN:1793-5458
研究方向:OPTICS-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGI
影响因子:3.632
ISSN:1084-9785
研究方向:医学-核医学
发表一篇学和医学成像类SCI论文
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