Current State of Integration of ERAS Principles into Radical Prostatectomy Practice for Prostate Cancer

The Enhanced Recovery After Surgery (ERAS) concept is a comprehensive multidisciplinary approach based on scientific principles, aimed at optimizing patient management during the perioperative period. Despite the proven efficacy of ERAS across various oncological surgeries, the impact of this approach on perioperative outcomes in the treatment of prostate cancer remains underexplored. This review analyzes current scientific data on the application of ERAS principles in the preoperative, intraoperative, and postoperative stages of prostate cancer treatment. A literature search was conducted in the electronic databases PubMed and Google Scholar using the following keywords in Russian and English: концепция ускоренного восстановления после операции / enhanced recovery after surgery, радикальная простатэктомия / radical prostatectomy, роботическая радикальная простатэктомия / robotic radical prostatectomy, рак предстательной железы / prostate cancer, and eras. The search was performed in accordance with PRISMA guidelines. A total of 100 studies were included in the review. ERAS encompasses the entire perioperative period, from patient preparation to postoperative recovery. This enables effective implementation of radical prostatectomy and ensures high-quality rehabilitation. Currently, the combination of ERAS with robotic radical prostatectomy demonstrates advantages related to minimal invasiveness and high procedural reliability, which contribute to shorter operative times, reduced postoperative complications, accelerated patient’s recovery, and improved healthcare staff satisfaction. To fully assess the benefits of ERAS, it is essential to systematize existing concepts and recommendations in the field of surgical treatment of prostate cancer and to conduct high-quality multicenter studies aimed at exploring rehabilitation, complication prevention, and patient-reported outcomes. This will help expand the potential of ERAS and enhance its impact on treatment outcomes.