Онкология POSSIBILITY APPLICATION OF THE CONCEPT OF RAPID RECOVERY AFTER ESOPHAGEAL CANCER SURGERY OPERATION (FAST TRACK SURGERY)
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ONCOLOGY BULLETIN OF THE VOLGA REGION

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POSSIBILITY APPLICATION OF THE CONCEPT OF RAPID RECOVERY AFTER ESOPHAGEAL CANCER SURGERY OPERATION (FAST TRACK SURGERY)

A.F. Khasanov, E.I. Sigal, V.R. Trifonov, N.A. Khasanova, N.A. Baisheva, Sh.R. Gabdulganiev 

1 Tatarstan Cancer Center, Kazan 

2 Volga Region branch of RCRC named after N.N. Blokhin of the RAMS, Kazan

 

Khasanov A.F. — anesthesiologist-reanimatologist

12 Acad. Glushko St., Kazan, Russian federation, 420100, tel. +7-905-376-86-91, e-mail: anvar/Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.

 

 

Abstract. Respiratory complications in patients with esophageal cancer after esophagectomy with simultaneous plastic are the most common, can cause death in half of the deaths and increase the length of postoperative stay patient in the clinic. Purpose of the message is to inform about the possibilities of applying the concept of accelerated recovery after esophagectomy in a prospective study of 13 patients during using minimally invasive surgery, thoracic epidural anesthesia/analgesia local anesthetics, as a component of anesthesia and postoperative analgesia, early extubation implementation and mobilization patient with performing breathing exercises, rapid onset of enteral feeding, as well as the planned short postoperative stay in the ICU and hospital. Postoperative complications occurred in 3 (23,1%) patients: one patient (7,7%) developed right-sided pneumonia, two patients (15,4%) right-sided pneumothorax, requiring emergency re drainage. The median length of stay in intensive care patients was 2 (1-4) bed/day postoperative hospital stay 9 (7-12) bed/day. Further monitoring of the patients within 15 days did not reveal any long-term complications. The results confirm that it is possible to optimize the treatment of patients with esophageal cancer after esophagoplastic accelerated recovery program without the risk of increasing the frequency of postoperative complications that affect the reduction of length of hospital stay. Given that this is a multifaceted issue and remains controversial, there is room for further research in this direction.

Key words: esophageal cancer, esophagectomy, accelerated recovery, fast track surgery.





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