Concept of ERAS in surgery of esophagus and gastric cancer: problem aspects
Abstract
The well recognized benefits of the concept of enhanced recovery after surgery (ERAS) are reducing of surgical stress, supporting physiologic homeostasis, fast rehabilitation after an operation, decrease of postoperative morbidity rates, length of hospital stay and cost of treatment. One of the most important innovation in the surgery of the gastrointestinal tract is implementation of ERAS techniques. The survey indicates lacks of prospective randomized trials and met-analysis. Now there is no evidence base for wide incorporation of ERAS in surgical treatment of gastric and esophageal cancer. At the same time a notable factor of its implementation is the possibility of high quality surgical treatment to a more number of patients for less money. Therefore it is necessary to prove extended clinical trials for optimization and standardization of perioperative period such technical complicated surgery as gastrectomy, esophagectomy.
About the Authors
M. D. Ter-Ovanesov
People’s Friendship University of Russia; Municipal Clinical Hospital No 40
Russian Federation
Russian Federation
M. Yu. Kukosh
People’s Friendship University of Russia; Municipal Clinical Hospital No 40
Russian Federation
Russian Federation
A. S. Gaboyan
People’s Friendship University of Russia; Municipal Clinical Hospital No 40
Russian Federation
Russian Federation
A. V. Levitsky
People’s Friendship University of Russia; Municipal Clinical Hospital No 40
Russian Federation
Russian Federation
A. Zraibia
People’s Friendship University of Russia
Russian Federation
Russian Federation
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Review
For citations:
Ter-Ovanesov M.D., Kukosh M.Yu., Gaboyan A.S., Levitsky A.V., Zraibia A. Concept of ERAS in surgery of esophagus and gastric cancer: problem aspects. Medical alphabet. 2017;1(16):17-22. (In Russ.)
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