EVALUATION OF THE RESULTS OF IMPLEMENTING THE ACCELERATED POSTOPERATIVE REHABILITATION PROGRAM IN PATIENTS WITH LOCALLY ADVANCED GASTRIC CANCER

of the Dnipro State Medical University on the topic "Improvement of the principles of personalized diagnostics of diseases and complex treatment of malignant tumors and precancerous conditions", state registration number 0122U201536. Introducon.Aempts to opmize the management algorithms for surgical paents have been made throughout the 20th century.However, a comprehensive program of an innovave approach was formulated only in 1997, when Professor Kehlet H. introduced the concept of Fast Track Surgery (FT) [1,2].Fast Track Surgery and ERAS/RRSP (Enhanced Recovery Aer Surgery / Rapid Recovery Aer Surgery Programs) are methods of comprehensive treatment that include preoperave preparaon, the use of minimally invasive surgical techniques, and acve postoperave management aimed at reducing hospital stay duraon, rehabilitaon me, and facilitang the fastest possible return of paents to their normal life [3,4].This is a muldisciplinary balanced approach to perioperave paent management based on the principles of evidence-based medicine [2,5].In 2014, the ERAS Society presented guidelines for postoperave management of paents undergoing gastric cancer surgery [6].The recommendaons include 25 items, of which 17 are general and eight are specic to gastric cancer surgery.In 2018, these guidelines were updated to include paent-controlled analgesia in the postoperave period as a specic measure for gastric cancer surgery [7].General recommendaons include preoperave counseling, absnence from alcohol and smoking for one month prior to surgery, avoidance of preoperave fasng and mechanical bowel preparaon, preopera-