Современное состояние вопроса интеграции принципов ERAS в практику радикальной простатэктомии при раке предстательной железы

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Аннотация

Концепция ускоренного восстановления после операции (ERAS, Enhanced recovery after surgery) — это комплексный мультидисциплинарный подход, основанный на научных принципах и направленный на оптимизацию ведения пациентов в периоперационном периоде. Несмотря на подтвержденную эффективность ERAS в различных видах онкологических операций, остаются нерешенными вопросы относительно влияния данного подхода на результаты периоперационного периода при лечении рака предстательной железы. В обзоре проанализированы современные литературные данные, посвященные использованию принципов ERAS в предоперационном, интраоперационном и послеоперационном периодах при лечении рака предстательной железы. Поиск публикаций проведен в электронных базах данных PubMed и Google Scholar по ключевым словам на русском и английском языках: «концепция ускоренного восстановления после операции», «радикальная простатэктомия», «роботическая радикальная простатэктомия», «enhanced recovery after surgery», «рак предстательной железы», «eras», «prostate cancer», «radical prostatectomy», «robotic radical prostatectomy». Поиск проводили в соответствии с рекомендациями PRISMA. В итоге в обзор вошло 100 исследований. ERAS охватывает весь периоперационный период, начиная с подготовки пациента и заканчивая восстановлением после операции. Это позволяет эффективно выполнять радикальную простатэктомию и обеспечивать качественную реабилитацию. В настоящее время сочетание ERAS с роботической радикальной простатэктомией демонстрирует преимущества, связанные с минимальной травматизацией и высоким уровнем надежности, что позволяет значительно сократить время операции, уменьшить послеоперационные осложнения, ускорить восстановление пациента и повысить удовлетворенность медицинского персонала. Чтобы в полной мере оценить преимущества ERAS, необходимо систематизировать существующие концепции и рекомендации в области хирургического лечения рака предстательной железы, а также проводить высококачественные многоцентровые исследования, направленные на изучение реабилитации, профилактики осложнений и анализа мнения пациентов. Это позволит расширить возможности ERAS и усилить ее влияние на улучшение результатов лечения.

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Об авторах

Сабир Шамильевич Сабирзянов

Республиканская клиническая больница им. Г.Г. Куватова

Email: sobir08-97@mail.ru
ORCID iD: 0000-0003-4044-0396
Россия, Уфа

Максим Александрович Соколовский

Российский национальный исследовательский медицинский университет им. Н.И. Пирогова

Email: maks_sokolovskiy@internet.ru
ORCID iD: 0009-0005-4998-3532
Россия, Москва

Екатерина Владимировна Кожевникова

Рязанский государственный медицинский университет им. акад. И.П. Павлова

Автор, ответственный за переписку.
Email: ktrnkzhvnkv@gmail.com
ORCID iD: 0009-0002-3693-2355
Россия, Рязань

Марат Собирович Хайдаров

Ижевская государственная медицинская академия

Email: Hayammark@gmail.com
ORCID iD: 0009-0009-9818-8841
Россия, Ижевск

Мария Арменовна Талян

Ростовский государственный медицинский университет

Email: talyanmariya@mail.ru
ORCID iD: 0009-0007-5681-052X
Россия, Ростов-на-Дону

Елена Михайловна Кужильная

Ростовский государственный медицинский университет

Email: lena.kuzhilnaya@mail.ru
ORCID iD: 0009-0008-2870-3601
Россия, Ростов-на-Дону

Альфия Ильгизовна Загидуллина

Красноусольская центральная районная больница

Email: alfia047@gmail.com
ORCID iD: 0009-0000-4612-5640
Россия, Красноусольский

Роман Бакриевич Али

Российский университет медицины

Email: romanike2001@gmail.com
ORCID iD: 0009-0002-9184-6222
Россия, Москва

Дарья Андреевна Юшина

Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова

Email: dr.daria.yushina@gmail.com
ORCID iD: 0009-0001-3633-186X
Россия, Санкт-Петербург

Алексей Сергеевич Тимофеев

Уральский государственный медицинский университет

Email: timofeevj21@gmail.com
ORCID iD: 0009-0002-6798-3622
Россия, Екатеринбург

Софья Эдуардовна Горовая

Кубанский государственный медицинский университет

Email: sofyagorovayyaa@mail.ru
ORCID iD: 0009-0003-3470-7266
Россия, Краснодар

Англелина Игоревна Симакова

Кировский государственный медицинский университет

Email: MatricariaChamomilla@yandex.ru
ORCID iD: 0009-0004-1660-2783
Россия, Киров

Ольга Михайловна Кондрашева

Кубанский государственный медицинский университет

Email: o_kolodina01@mail.ru
ORCID iD: 0009-0005-4860-9741
Россия, Краснодар

Анаит Арменовна Арутюнян

Ростовский государственный медицинский университет

Email: anahit-20001@mail.ru
ORCID iD: 0009-0000-9874-3870
Россия, Ростов-на-Дону

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