Enhanced recovery program in thoracoabdominal surgery

Shestakov A.L.

Petrovsky Russian Research Center of Surgery

Bitarov T.T.

Petrovsky Russian Research Centre of Surgery

Nikoda V.V.

Petrovsky Russian Scientific Center of Surgery

Boeva I.A.

Petrovsky Russian Scientific Center of Surgery

Tskhovrebov A.T.

Petrovsky Russian Research Centre of Surgery

Tarasova I.A.

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0001-9344-7351

Bezaltynnykh A.A.

Petrovsky Russian Scientific Center of Surgery

Gorshunova A.P.

Russian Scientific Center for Surgery named after Academician B.V. Petrovsky

Enhanced recovery program in thoracoabdominal surgery

Authors:

Shestakov A.L., Bitarov T.T., Nikoda V.V., Boeva I.A., Tskhovrebov A.T., Tarasova I.A., Bezaltynnykh A.A., Gorshunova A.P.

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Journal: Problems of Balneology, Physiotherapy and Exercise Therapy. 2021;98(6‑2): 46‑52

DOI: 10.17116/kurort20219806246

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To cite this article:

Shestakov AL, Bitarov TT, Nikoda VV, et al. . Enhanced recovery program in thoracoabdominal surgery. Problems of Balneology, Physiotherapy and Exercise Therapy. 2021;98(6‑2):46‑52. (In Russ.)
https://doi.org/10.17116/kurort20219806246

Подписка 2025 (Problems of Balneology, Physiotherapy and Exercise Therapy)

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Significant improvement of treatment outcomes and reduction of postoperative hospital stay can be achieved, provided a multifaceted approach used in the management of patients. The introduction of the enhanced recovery program addressing all possible factors of the perioperative period will contribute to the treatment protocol development for patients after extensive surgery on the esophagus.

OBJECTIVE

To improve medical rehabilitation outcomes in patients after extensive surgery for benign and malignant diseases of the esophagus by implementing an enhanced recovery program.

MATERIALS AND METHODS

Patients with benign and malignant esophageal diseases underwent radical surgical repair under general balanced anesthesia with mechanical ventilation. With the collaboration of surgery, anesthesiology, and intensive care staff, a proprietary day-by-day enhanced recovery program was developed based on existing guidelines for patient management and systematic reviews on the enhanced recovery protocol after surgical esophageal repair.

RESULTS

The developed patient management program was effective due to the reduction of intensive care unit stay and the total postoperative stay in all main group patients. The use of minimally invasive video-endoscopic techniques contributed to the reduction of intensive care unit stay. A less severe surgical stress response was observed in patients in the group of thoracoscopic subtotal esophageal resections.

CONCLUSION

The introduction of the enhanced recovery program promotes the reduction of hospital stay and ICU stay in surgical esophageal repair patients. Also, it allows optimizing the postoperative management of patients with complicated and uncomplicated postoperative periods.

Keywords:

Enhanced Recovery after Surgery (ERAS)

accelerated recovery program

accelerated recovery protocol

esophageal resection

Authors:

Shestakov A.L.

Petrovsky Russian Research Center of Surgery

Bitarov T.T.

Petrovsky Russian Research Centre of Surgery

Nikoda V.V.

Petrovsky Russian Scientific Center of Surgery

Boeva I.A.

Petrovsky Russian Scientific Center of Surgery

Tskhovrebov A.T.

Petrovsky Russian Research Centre of Surgery

Tarasova I.A.

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0001-9344-7351

Bezaltynnykh A.A.

Petrovsky Russian Scientific Center of Surgery

Gorshunova A.P.

Russian Scientific Center for Surgery named after Academician B.V. Petrovsky

Received:

06.10.2021

Accepted:

01.11.2021

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