ERUS 2018: The ERUS Booklet on ERAS

Marseille, France ( Dr. Waltz gave a brief overview on ERUS booklet on ERAS.  ERAS is a multi-profession approach including surgeons, anesthesiologists, nursing staff, patients and general practitioners (GP). The three cornerstones of ERAS include:

  1. Minimally invasive surgery
  2. Clinical pathway
  3. Active patient
The ERUS booklet on ERAS was formulated to help urologists get started with an ERAS program. It contains information for the patient, for the GP, and contains complete protocols for radical cystectomy, prostatectomy and nephrectomy. The booklet was based on the ERAS EAU robotic urology section scientific working group consensus view1, a compendium of several local protocols, coming from centers with experience with ERAS, and summary of practical elements, identified as relevant by each team.

The contributors to this booklet included Jim Catto from Sheffield, Justin Collins from Stockholm, Nicolas Doumerc from Toulouse, Marcus Graefen from Hamburg, Philippe Paparel from Lyon, Peter Wiklund, Alex Mottrie for ERUS endorsement, and Jochen Walz from Marseille.

The booklet contains several sections:

  1. Introduction – including reasons to apply to ERAS and its principles
  2. Patient information – explain the rationale, motivate the patient and get him on board
  3. GP information – explain the rationale, and motivate the GP to his part of the program
  4. ERAS protocol – including presurgical, admission, anesthesia, surgery, and postoperative
  5. Points to report – patient-specific details, operation details, and ERAS specific details
Dr. Walz concluded his talk and emphasized the continuous need for quality improvement circle of ERAS (Figure 1). Before finishing the talk, he said that the ERUS booklet could be downloaded through the ERUS 18 website
UroToday ERUS2018 Continuous quality improvement circle in ERAS
Figure 1 – Continuous quality improvement circle in ERAS:

Presented by: Walz, Marseille, France
Written by: Hanan Goldberg, MD, Urologic Oncology Fellow (SUO), University of Toronto, Princess Margaret Cancer Centre, Twitter:@GoldbergHanan at the EAU Robotic Urology Section (ERUS) Meeting - September 5 - 7, 2018 - Marseille, France

1. Collins JW, Patel H, Adding C, et al. Enhanced Recovery After Robot-assisted Radical Cystectomy: EAU Robotic Urology Section Scientific Working Group Consensus View. European urology 2016; 70(4): 649-60.