Bladder cancer and the use of the fast track method in the early rehabilitation of oncological patients (literature review)

Autor: D. G. Voroshin, A. V. Vazhenin, V. E. Khoronenko, P. A. Karnaukh
Jazyk: ruština
Rok vydání: 2018
Předmět:
Zdroj: Onkourologiâ, Vol 14, Iss 1, Pp 173-178 (2018)
ISSN: 1996-1812
1726-9776
Popis: In the last 20 years, a concept of using multimodal programs of early rehabilitation of patients after surgical interventions – Enhanced Recovery After Surgery (ERAS) – has been developed in medicine. In oncological urology, the ERAS protocol is used only in treatment of bladder cancer. At the same time, not all available elements of this program are used despite the fact that in Russia 24.4 % of malignant tumors are urogenital tumors, and bladder cancer comprises one sixth (4.6 %) of them. Frequently, reconstructive plastic surgery is an integral part of bladder cancer treatment, and it’s accompanied by various complications many of which are associated with incorrect tactics of perioperative patient care. This situation can be dramatically improved by a more widespread use of the ERAS protocol. The immediate problem of oncological urology is development of an effective, safe, and available for wide use algorithm of postoperative rehabilitation of patients with malignant tumors of the bladder after cystectomy with cystoplasty.
Databáze: OpenAIRE