Open AccessEnhanced recovery programs for patients after pancreatic surgery
Author(s) -
А. П. Кошель,
Evgeniy Drozdov,
С. С. Клоков,
Т. Ф. Кузнецова,
Yu. Yu. Rakina,
А. С. Провоторов
Publication year - 2020
Publication title -
annaly hirurgičeskoj gepatologii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.138
H-Index - 1
eISSN - 2408-9524
pISSN - 1995-5464
DOI - 10.16931/1995-5464.2020179-91
Subject(s) - medicine , rehabilitation , randomized controlled trial , quality of life (healthcare) , abdominal surgery , pancreas , surgery , general surgery , intensive care medicine , physical therapy , nursing
The aim of the work is to highlight the main components of the enhanced rehabilitation programs, to compare the results of traditional pancreas operations performed under these programs, and also to present possible prospects for this area. The number of operations performed in patients with various pathologies of the pancreas has increased significantly. Despite a significant reduction in postoperative mortality, the frequency of postoperative complications remains significant, even in specialized centers. The full restoration of the quality of life after surgery takes considerable time. The concept of accelerated rehabilitation after surgery, based on the principles of evidence-based medicine, has been shown to be effective in specific areas of abdominal surgery. However, the role of this concept in surgical pancreatology is not specified. Non-randomized studies and individual randomized studies have shown that the use of accelerated rehabilitation protocols for pancreatic surgery is safe, allowing you to reduce the duration of postoperative hospital stay without increasing the number of complications and mortality.