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Основные компоненты протокола ускоренного выздоровления в хирургии опухолей легкого

https://doi.org/10.17709/2410-1893-2021-8-3-7

Полный текст:

Аннотация

В связи с высокой заболеваемостью раком легкого и необходимостью хирургического лечения данной категории пациентов, внедрение концепции стандартизированного протокола ускоренного выздоровления может позволить добиться снижения количества осложнений после операций и сокращения сроков госпитализации.

Целью данного обзора литературы явилось изучение основных компонентов протокола ускоренного выздоровления в торакальной онкохирургии при проведении видео-торакоскопических вмешательств. Показано, что использование целенаправленных мер в пред- (консультация пациента перед операцией, соблюдение режима приема жидкости и пищи, отказ от рутинного применения седативных препаратов, профилактика венозных тромбозов, использование внутривенных антибиотиков, а также спиртового раствора хлоргексидина для обработки кожи), интра- (профилактика гипотермии, использование торакоскопического доступа, одного дренажа при анатомических резекциях легкого, отказ от плеврального дренажа, установка уретрального катетера только при проведении эпидуральной анестезии не более, чем на 2 часа) и послеоперационном (ранняя мобилизация и прекращение инфузионной терапии, обезболивание с использованием комбинации ацетаминофена и НПВС, поддержание нормоволемии, использование сбалансированных кристаллоидных растворов и нефармакологических мер для коррекции тошноты и рвоты) периодах способствуют улучшению результатов лечения, снижению уровня послеоперационных осложнений и послеоперационной летальности.

Об авторах

А. К. Качур
Клиническая больница №1 «Медси»
Россия

Качур Александр Константинович – врач-онколог отделения торакоабдоминальной онкологии и маммологии клинической больница, SPIN:9251-5890, AuthorID: 1081877, Scopus Author ID: 57193125970

143442, Российская Федерация, г.о. Красногорск, пос. Отрадное, влд. 2, стр. 1


Конфликт интересов:

Авторы заявляют об отсутствии конфликта интересов



В. К. Лядов
ГБУЗ «Городская клиническая онкологическая больница №1 ДЗМ»; ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России
Россия

Лядов Владимир Константинович – д.м.н., доцент, доцент кафедры онкологии ; заведующий отделением онкологии №4 , SPIN: 5385-7889, AuthorID: 642364, ResearcherID:
AAA-3897-2019, Scopus Author ID: 57201392537

105005,  г. Москва, ул. Бауманская, д. 17/1; 125993, г. Москва, ул. Баррикадная, д. 2/1, стр. 1


Конфликт интересов:

Авторы заявляют об отсутствии конфликта интересов



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Качур А.К., Лядов В.К. Основные компоненты протокола ускоренного выздоровления в хирургии опухолей легкого. Research'n Practical Medicine Journal. 2021;8(3):70-83. https://doi.org/10.17709/2410-1893-2021-8-3-7

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Каchur A.K., Lyadov V.K. Key components of enhanced recovery after surgery protocol in lung cancer surgery. Research and Practical Medicine Journal. 2021;8(3):70-83. (In Russ.) https://doi.org/10.17709/2410-1893-2021-8-3-7

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