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

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Abstract & Overview

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.

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V. K. Lyadov, Т. М. Сабирова, E. V. Cherepanova, Tatyana S. Dikova (2021). Accelerated Recovery Protocol in Extended Combined and Single-Stage Surgery for Pelvic Cancer. Creative Surgery and Oncology, 11(2), 125–131. https://doi.org/10.24060/2076-3093-2021-11-2-125-131

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Lyadov, V. K., Сабирова, Т. М., Cherepanova, E. V., & Dikova, T. S. (2021). Accelerated Recovery Protocol in Extended Combined and Single-Stage Surgery for Pelvic Cancer. Creative Surgery and Oncology, 11(2), 125–131. https://doi.org/10.24060/2076-3093-2021-11-2-125-131
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