Background and Goal of Study: To compare results of the fast track protocol in radical cystectomy in our hospital,in terms of morbidity and mortality, with the patients involved radical cystectomy following the classic protocol

Materials and Methods:a prospective study of patients undergoing radical cystectomy in the HUMS,between January 2016 and October 2016:51 classical protocol,48 fast track protocol.

Variables concerning previous characteristics of patients,hospital stay and complications were collected and divided,pre-cystectomy,pery-cystectomy and post-cystectomy,later performing the statistical analysis using SPSS.

Results and Discussion:

CLASSIC PROTOCOL	FAST-TRACK PROTOCOL	TOTAL

NO NUMBER

7

31

38
NO

% PO COMPLICATIONS

18,4%	81,6%	100,0%
NO

% BY PROTOCOL

13,7%	64,6%	38,4%
YES NUMBER	44	17	61
YES

% PO COMPLICATIONS

72,1%	27,9%	100,0%
YES

% BY PROTOCOL

86,3%	35,4%	61,6%
TOTAL NUMBER

%PO COMPLIC

% BY PROTOCO

51

51,5%

100,0%

48

48,5%

100,0%

99

100,0%

100,0%

Conclusion(s):The implementation of this type of protocols shows significant decrease in number of complications and hospital stay, improving the quality of life of patients, and reducing the costs.

It should take out of the results obteined, the existence of a trend towards significance, so that in the classical although there is greater number of complications, mostly minor,while in the fast-track protocol have fewer complications, but the percentage of major complications is higher than in the classic. This could be the object of study in further works with increased sample size

References (optional):ç

- Lowrance WT,Rumohr JA,Chang SS,Clark PE,Smith JA,Cookson MS.Contemporary Open Radical cistectomy: analysis of perioperatives outcomes.J Urol.2008;179:1313-8.

- Novara G,De Marco V,Aragona m,Boscolo-Berto S,Cavalleri S,Artibani W, et al. Complications and mortality after radical cystectomy for bladder transitional cell cancer. J Urol.2009;182:914-21.

10 / A protocol for fast-track in radical cystectomy. Comparative study of morbidity and mortality after the implementation