ASSESSMENT OF FREQUENCY OF POSTOPERATIVE COMPLICATIONS AND THE POSSIBILITY OF THEIR REDUCTION IN PATIENTS WITH RADICAL CYSTECTOMY: THE SIGHT OF THERAPIST AND SURGEON

Klinicist

S. V. Kotov¹  V. S. Shemenkova¹  D. P. Kotova²  A. L. Khachatryan² 

[1] Russian National Research Medical University named after N.I. Pirogov, Ministry of Health of Russia;City Clinical Hospital № 1 named after N.I. Pirogov, Moscow City Healthcare Department;

关键词: bladder cancer;    radical cystectomy;    cardiac complications after cystectomy;    scales of assessment of perioperative complications;    preoperative preparation;    surgical complications after cystectomy;    eras protocol;    briker operation;    studer operation;    preparation for radical cystectomy;   

DOI  :  10.17650/1818-8338-2017-11-3-4-59-64

来源: DOAJ

【 摘 要 】

The aim of study: to estimate the frequency of postoperative complications and the ways of their reduction in patients after performing «large volume» surgical interventions on the example of radical cystectomy (RCE).Materials and methods. The study included 73 patients who underwent RCE. All patients were divided into 2 groups: the main group consisted of 29 patients who remained under the active supervision of the therapist throughout the entire hospitalization and underwent preoperative preparation (cardiac examination, correction and prescription of medication). The comparison group comprised 44 patients whose medical history was retrospectively analyzed. Patients of this group did not undergo advanced therapeutic monitoring, both in the preoperative and postoperative period.Results. In patients of the main group, despite the presence of concomitant pathology in most cases, including cardial pathology, the frequency of postoperative complications was statistically significantly lower than in the comparison group. There were no lethal cases from cardioembolic complications in patients undergoing active therapeutic monitoring. The observation of the therapist throughout the entire hospitalization, as well as the use of the surgical protocol of early activation of the patient, significantly reduced the length of hospitalization, as well as the length of stay in the intensive  care unit.Conclusion. The introduction of the program of preoperative preparation and therapeutic postoperative monitoring led to a reduction in the incidence of cardiac death and duration of hospitalization in patients undergoing extensive surgical intervention.

【 授权许可】

Unknown