Complex prophylaxis of postoperative complications in colorectal surgery

Keywords: colorectal cancer; prophylaxis of postoperative complications; the concept of «fast track»

Abstract

Objective. To improve the immediate results of surgical treatment of colorectal cancer, using more effective prophylaxis of morbidity.

Маterials and methods. The treatment efficacy of the Program of complex prophylaxis of postoperative complications in colorectal surgery, elaborated in the Clinic was studied up, using comparative analysis of the morbidity, occurred in 1253 patients, radically operated for cancer recti. In 2005 - 2010 yrs, when some elements of the elaborated Program have begun introduced into clinical practice, 361 patients were operated on (Group I). In 2011 - 2017 yrs, when the Program for prophylaxis of postoperative complications was applied in full volume, 892 patients, presenting the main group (Group II) were operated on.

Results. Сomparative analysis of the elaborated program for complex prophylaxis of postoperative complications and of the «fast track» concept have shown several essential differences between them. Introduction of the Program elaborated into clinical practice have improved the immediate results of surgical treatment of cancer recti due to essential lowering of rate of different morbidities from 14.9 tо 9.2% and mortality - from 3.0 tо 1.8%.

Conclusion. The Program for complex prophylaxis of postoperative complications in colorectal surgery, elaborated in the Clinic, guarantees the results improvement while surgical treatment of cancer recti and may be recommended for wide clinical application.

Author Biographies

B. М. Datsenko, Kharkov Medical Academy of Postgraduate Education

Datsenko Borys M. MD, PhD (Med), Professor
Department of surgery and proctology,
Kharkiv Medical Academy of post-graduate education,
Kharkiv 58 Amosova av., 61167, Kharkiv, Ukraine +380634716783
datsenkoboris34@gmail.com
orcid.org/0000-0002-9698-3624

Т. I. Таmm, Kharkov Medical Academy of Postgraduate Education

Tamm Tamara I. MD, PhD (Med), Professor,
Head of Department of surgery and proctology,
Kharkiv Medical Academy of post-graduate education,
Kharkiv 58 Amosova av., 61167, Kharkiv, Ukraine
+380506379002
tamm_ti@ukr.net
orcid.org/0000-0001-6372-2092

А. V. Кirillov, Kharkov Municipal Clinical Hospital № 2 named after Prof. А. А. Shalimov

Kyrylov Olexandr V. MD,
Depatment of proctology
City Clinical Hospital №2 named after O.O.Shalimova
197 Moskovskii av., 61038, Kharkiv, Ukraine
okyrylov@gmail.com
orcid.org/0000-0002-9472-7096

V. V. Sedak, Kharkov Municipal Clinical Hospital № 2 named after Prof. А. А. Shalimov

Sedak Vadim V. MD, PhD (Med),
Head of Depatment of proctology
City Clinical Hospital №2 named after O.O.Shalimova
197 Moskovskii av., 61038, Kharkiv, Ukraine
+380577601077
vsedak.sedak@gmail.com
orcid.org/0000-0003-3480-5432

S. N. Posokhov, Kharkov Municipal Clinical Hospital № 2 named after Prof. А. А. Shalimov

Posokhov Sergii N. MD,
Depatment of proctology
City Clinical Hospital №2 named after O.O.Shalimova
197 Moskovskii av., 61038, Kharkiv, Ukraine
+380577601077
posokhovsn@ukr.net
orcid.org/0000-0002-0678-9722

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Published
2019-06-27
How to Cite
DatsenkoB. М., ТаmmТ. I., DatsenkoА. B., КirillovА. V., Sedak, V. V., & Posokhov, S. N. (2019). Complex prophylaxis of postoperative complications in colorectal surgery. Klinicheskaia Khirurgiia, 86(6), 8-13. https://doi.org/10.26779/2522-1396.2019.06.08
Section
General Problems of Surgery