Experience of application of accelerated rehabilitation programs in patients with distal pancreas resection

Autor: A. P. Koshel, E. S. Drozdov, S. S. Klokov, T. V. Dibina, R. S. Nustafaev, А. S. Provotorov
Jazyk: ruština
Rok vydání: 2020
Předmět:
Zdroj: Вестник хирургии имени И.И. Грекова, Vol 179, Iss 4, Pp 62-71 (2020)
Druh dokumentu: article
ISSN: 0042-4625
DOI: 10.24884/0042-4625-2020-179-4-62-71
Popis: Introduction. The implementation of ERAS (Enhanced recovery after surgery) protocols has been shown to be effective in orthopedics, bariatric and colorectal surgery. However, the safety and feasibility of implementing accelerated rehabilitation protocols in patients underwent distal pancreatic resection is not well studied.The objective was to analyze the results of the application of accelerated rehabilitation protocols in patients underwent distal pancreatic resection.Methods and materials. A retrospective - prospective, single-center study was conducted. The study included 60 patients. Patients were divided into two groups (control group - 30 patients, perioperative management was carried out according to standard methods and the main group - 30 patients, perioperative management was carried out according to the accelerated rehabilitation protocol). All patients included in the study underwent distal pancreas resection.Results. Patients in the analyzed groups were comparable by gender, age, body mass index, and ASA score. The frequency and severity of postoperative complications in the compared groups was comparable. The frequency of early activation of patients was significantly higher in the main group (86.7 vs 56.7; p
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