Мультимодальная программа быстрого восстановления (ERAS) после хирургического лечения больных раком ободочной кишки

Мультимодальная программа быстрого восстановления (ERAS) после хирургического лечения больных раком ободочной кишки

Автор: Негардинов А.З., Кочатков А.В.

Журнал: Вестник Национального медико-хирургического центра им. Н.И. Пирогова @vestnik-pirogov-center

Рубрика: Обзоры литературы

Статья в выпуске: 4 т.14, 2019 года.

Бесплатный доступ

Проанализированны данные литературы, включая мета-анализы, многоцентровые исследования. Описаны ключевые компоненты программы быстрого восстановления (ERAS) в послеоперационном периоде при хирургическом лечении больных раком ободочной кишки с точки зрения патофизиологии и нейрогуморальной регуляции. Послеоперационное ведение пациентов предполагает эффективную аналгезию, ранние активизацию, энтеральное питание и регидратацию. Применение основных алгоритмов концепции мультимодальной программы ускоренной реабилитации, начиная с предоперационной подготовки пациентов, позволяет улучшить непосредственные результаты хирургического лечения, снизить длительность послеоперационной реабилитации, а так же риски послеоперационных осложнений.

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Пув, мультимодальное обезболивание, лапароскопическая хирургия, рак ободочной кишки, колоректальная хирургия

Короткий адрес: https://sciup.org/140249344

IDR: 140249344   |   DOI: 10.25881/BPNMSC.2020.16.29.019

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