E.Yu. Mingalimova1, S.V. Zinchenko2, I.I. Khayrullin1, S.A. Karamalikov3, A.I. Bilyalov2
1Tatarstan Cancer Center, Kazan
2Institute of Fundamental Medicine and Biology of the Kazan (Volga Region) Federal University, Kazan
3Almetyevsk branch of the Tatarstan Cancer Center, Almetyevsk
Mingalimova E.Yu. ― deputy chief physician for clinical and expert work of the Tatarstan Cancer Center
29 Sibirskiy Trakt, Kazan, Russian Federation, 420029, tel. (843) 519-26-00, e-mail: onko.qw@mail.ru
Abstract
Introduction. In the Russian Federation, the full accounting, analysis and prevention of early postoperative complications it’s carried out in the proper volume.
The aim of this study was to record and analyze all the early postoperative complications (EPC) in Tatarstan Cancer Center.
Results. The total number of operations in the cancer clinic for the period from 26.12.2016 to 25.12.2017 was 15 388, complications were occurred in 472 patients, the total number of complications was 611 (3.97% of the number of operations performed), of which 268 were purulent-septic (1.74%). Based on stratified information, the dominant types of complications were identified and analyzed: failure of digestive and urinary anastomoses, bleeding and thromboembolic complications.
Conclusions. 1. The total number of complications was 611 (3.97% of the number of operations), of which 268 purulent-septic (1.74%). 2. Dominant types were revealed: thromboembolic complications in 118 patients (19.3% of the total number of EPC), bleeding in 103 patients (16.9%) and insufficiency of anastomoses in 115 patients (18.8%). 3. Mortality from EPC remains extremely high by 26.1%, i.e. one in four patients as a result of EPC development dies from these complications.
Key words: early postoperative complications, failure of anastomoses, thromboembolic complications, bleeding.