grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2023-182-2-78-85grekov-2220Research ArticleОБЗОРЫREVIEWSПрограмма ускоренного восстановления больных раком пищевода после хирургического лечения (обзор литературы)Program for accelerated recovery of patients with esopha geal cancer after surgical treatment (literature review)https://orcid.org/0000-0001-8746-9343ДворецкийС. Ю.DvoretskyS. Yu.

Дворецкий Сергей Юрьевич, доктор медицинских наук, зав. отделением торакальной хирургии, доцент кафедры хирургии госпитальной с клиникой

Санкт-Петербург

Dvoretsky Sergey Yu., Dr. of Sci. (Med.), Head of the Department of Thoracic Surgery, Associate Professor of the Department of Hospital Surgery with Clinic

Saint Petersburg

https://orcid.org/0000-0001-9500-1716КапшукЯ. Ю.KapshukYa. Yu.

Капшук Яна Юрьевна, лаборант отдела торакальной хирургии НИИ хирургии и неотложной медицины

197022, Санкт-Петербург, ул. Льва Толстого, д. 6-8

Kapshuk Yana Yu., Laboratory Assistant of the Department of Thoracic Surgery of the Research Institute of Surgery and Emergency Medicine

6-8, L’va Tolstogo str., Saint Petersburg, 197022

kana46557@gmail.comhttps://orcid.org/0000-0001-8698-7018АкоповА. Л.AkopovA. L. 

Акопов Андрей Леонидович, доктор медицинских наук, профессор, профессор кафедры хирургии госпитальной с клиникой, руководитель отдела торакальной хирургии НИИ хирургии и неотложной медицины

Санкт-Петербург

Akopov Andrey L., Dr. of Sci. (Med.), Professor, Professor of the Department of Hospital Surgery with Clinic, Head of the Department of Thoracic Surgery of the Research Institute of Surgery and Emergency Medicine

Saint Petersburg

Федеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова» Министерства здравоохранения Российской ФедерацииPavlov University20232704202318227885Copyright © Дворецкий С.Ю., Капшук Я.Ю., Акопов А.Л., 20232023Дворецкий С.Ю., Капшук Я.Ю., Акопов А.Л.Dvoretsky S.Y., Kapshuk Y.Y., Akopov A.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/2220

Данный обзор посвящен новым тенденциям в хирургии пищевода в связи с внедрением протоколов ERAS ( Enhanced recovery after surgery, ускоренное восстановление после операции). Отсутствие в настоящее время единого регламента для хирургического лечения пациентов с заболеваниями пищевода требует поиска новых направлений и исследований в этой области. Однако любые нововведения всегда вызывают настороженность у хирургов, что связано с высоким риском послеоперационных осложнений и повышения уровня летальности. В статье рассмотрены новые сведения, доказывающие неэффективность многих устоявшихся принципов лечения, а также продемонстрирована важность мультидисциплинарного подхода к лечению таких пациентов.

This review is devoted to new trends in esophageal surgery due to the introduction of ERAS (Enhanced Recovery After Surgery). Currently, the absence of a single regulation for the surgical treatment of patients with esophageal diseases requires the search for new directions and research in this area. However, any innovations always cause alertness among surgeons, which is associated with a high risk of postoperative complications and an increase in the mortality rate. The article discusses new reports proving the ineffectiveness of many established principles of treatment, and also demonstrates the importance of a multidisciplinary approach to the treatment of such patients.

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The authors declare that there are no conflicts of interest present.