DOI: 10.25881/BPNMSC.2020.16.29.019

Авторы

Негардинов А.З.2, Кочатков А.В.1, 2

1 ФГБОУ ВО Московский государственный университет имени М.В. Ломоносова, Москва

2 Клиническая больница № 1 АО ГК Медси, Москва

Аннотация

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.

Ключевые слова: ПУВ, Fast Track, ERAS, мультимодальное обезболивание, лапароскопическая хирургия, рак ободочной кишки, колоректальная хирургия.

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