Непосредственные результаты внедрения протокола ERAS у пациентов с колоректальным раком и солитарным метастазом в легком при симультанном варианте хирургического лечения

Abstract

The aim of the research is to develop and implement a protocol for accelerated rehabilitation in patients with operable colorectal cancer and solitary lung metastasis; to evaluate the effectiveness of the protocol at all stages of perioperative period with simultaneous surgical treatment. Material and methods. The results of treating patients with colorectal cancer and synchronous lung oligo-metastasis were analyzed. All patients underwent simultaneous surgical treatment. In the study group, perioperative support was carried out using the principles of accelerated rehabilitation; in retrospective check group patients were treated according to traditional methods. In postoperative period, perioperative parameters, number and severity of complications were assessed. Results. Within the study, no statistically significant differences were found in the groups, both in the duration of surgery and in the amount of blood loss. The largest number of complications in both groups are of I and II degrees and there were no static differences. However, faster recovery of gastrointestinal function, as well as shorter in-patient period was observed in the study group. Conclusion. The study showed the feasibility of simultaneous surgical treatment in this category of patients. Moreover the use of accelerated rehabilitation protocol can reduce the duration of postoperative in-patient period, as well as decrease of gastrointestinal tract function recovery time.