THE ROLE OF PARENTERAL CORRECTION OF HOMEOSTASIS IN SURGERY FOR CANCER OF THE ESOPHAGUS AND CARDIOESOPHAGEAL ZONE

Abstract

To study the effect of plasma substitutes on homeostasis in patients after high-tech surgical interventions
with simultaneous reconstructive reconstruction of the upper floor of the digestive canal in case of esophageal cancer
(RP) and cardioesophageal cancer (CER). Material and methods: A comparative analysis of the results of postoperative
management of 60 patients with RP and 87 with CER was carried out. We prospectively studied the data of 73 patients
who were targeted for complex postoperative infusion therapy based on colloidal plasma substitutes, emulsion and
amino acid infusion solutions (main group), as well as a retrospective analysis of changes in homeostasis in the early
postoperative period in 74 patients with various types of surgical interventions KEP and RP (control gr.). Results:
The use of the modern generation of plasma substitutes based on amino acid and protein emulsions contributes to the
restoration of homeostasis disorders in the postoperative period in patients with RP and CER. The inclusion of protein
emulsions in the arsenal of postoperative therapy reduces the number of complications. Conclusions: The use of drugs
from the group of plasma substitutes provides early rehabilitation of patients with RP and CER.