Accelerated Recovery Protocol in Extended Combined and Single-Stage Surgery for Pelvic Cancer

Introduction. The study aimed to evaluate a routine accelerated recovery management in patients with extended combined pelvic surgery.Materials and methods. We surveyed the records and outcomes in various oncological patients following the accelerated recovery protocol after a routine extended combi...

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Bibliographic Details
Main Authors: V. K. Lyadov, M. R. Garipov, A. N. Moskalenko, E. V. Cherepanova, T. S. Dikova
Format: Article
Language:English
Published: Bashkir State Medical University 2021-05-01
Series:Креативная хирургия и онкология
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Online Access:https://www.surgonco.ru/jour/article/view/581
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Summary:Introduction. The study aimed to evaluate a routine accelerated recovery management in patients with extended combined pelvic surgery.Materials and methods. We surveyed the records and outcomes in various oncological patients following the accelerated recovery protocol after a routine extended combined pelvic surgery at the Moscow City Oncology Hospital No. 1 during 2018–2020.Results and discussion. Locally advanced tumours comprised 37 (75.5 %) cases, and the remaining 12 (24.5 %) were nonpelvic resections due to metastasis. Radical surgery was achieved in 41 (83.7 %) cases, while the other 8 (16.3 %) were symptomatic due to the emerged complications of intestinal permeability disruption, bleeding, urinary obstruction, paracancrotic abscess, internal fistulae or pain syndrome. Postoperative complications were evaluated in the Clavien-Dindo classification.Conclusion. The results obtained suggest the feasibility of an accelerated recovery protocol-based practice in extended combined pelvic surgery.
ISSN:2076-3093
2307-0501