Possibilities of using the accelerated rehabilitation program (ERAS) for gastric cancer in elderly patients
https://doi.org/10.17650/3034-2473-2024-1-1-65-71
Abstract
The aim of this work is to evaluate the possibility of implementing the concept of enhanced recovery after surgery (ERAS) in perioperative treatment of an 80-year-old female patient with gastric stump carcinoma.
Analysis of the clinical case and available literature data was performed. The concept of ERAS demonstrates its effectiveness not only in standard oncosurgical practice, but also can be successfully extended to difficult clinical situations including in elderly patients. However, personalized approach to development of a specific ERAS protocol is necessary taking into account surgery volume, concomitant pathology and individual patient characteristics.
The use of individually selected points of the ERAS protocol taking into account oncological diagnosis, comorbidity, the type and technical features of the upcoming operation make the surgical stage of treatment not only safe, devoid of postoperative complications, but also more comfortable for the patient, positively affecting their quality of life. Our experience can be successfully applied in real clinical practice.
About the Authors
R. Yu. Khlobystin
Federal Siberian Research Clinical Center, Federal Medical and Biological Agency; V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia
Russian Federation
Russian Federation
26 Kolomenskaya St., Krasnoyarsk 660037; 1 Partizana Zheleznyaka St., Krasnoyarsk 660022
M. Yu. Kukosh
Peoples’ Friendship University of Russia named after Patrice Lumumba; Melanoma-Unit Clinic
Russian Federation
Russian Federation
6 Miklukho-Maklaya St., Moscow 117198; Build. 1, 15 Tatisheva St., Moscow 115191
M. D. Ter-Ovanesov
Russian University of Medicine, Ministry of Health of Russia; N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation
Russian Federation
4 Dolgorukovskaya St., Moscow 127006; 24 Kashirskoe Shosse, Moscow 115522
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Review
For citations:
Khlobystin R.Yu., Kukosh M.Yu., Ter-Ovanesov M.D. Possibilities of using the accelerated rehabilitation program (ERAS) for gastric cancer in elderly patients. Supportive Therapy in Oncology. 2024;1(1):65-71. (In Russ.) https://doi.org/10.17650/3034-2473-2024-1-1-65-71
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