Концепция ускоренной реабилитации в хирургическом лечении рака пищевода и желудка: постановка проблемы

Общепризнанными преимуществами ERAS являются снижение хирургического стресса, поддержание физиологичного гомеостаза, ускоренное восстановление пациентов после операции, уменьшение количества послеоперационных осложнений, снижение длительности пребывания в стационаре и стоимости лечения. Одной из важнейших инноваций в хирургии желудочнокишечного тракта является внедрение ERAS-технологий. Обзор литературы свидетельствует о том, что на сегодняшний день из-за малого числа проспективных рандомизированных испытаний и мета-анализов убедительной доказательной базы для широкого внедрения ERAS-методик в хирургическое лечение рака желудка и пищевода нет. В то же время, важнейшим фактором продвижения концепции ускоренной реабилитации является возможность оказания высококачественной специализированной хирургической помощи большему количеству пациентов с меньшими финансовыми затратами. Таким образом, необходимо проведение масштабных клинических исследований с целью оптимизации и стандартизации ведения периоперационного периода при таких технических сложных и травматичных хирургических вмешательствах, как гастрэктомия и эзофагэктомия.

онкохирургия, фаст-трек , хирургия, ускоренная реабилитация после операции, рак желудка, рак пищевода, нутритивная поддержка

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