J.R Sanginov1, Z.H. Huseynzoda2, F.S. Mansurov3
EMERGENCY SURGERY TO ONCOLOGICAL PATIENTS
1Department of Oncology, Avicenna Tajik State Medical University, Dushanbe, Tajikistan
2Republican Oncological Scientific Center, Dushanbe, Tajikistan
3Sogdian Regional Oncological Center, Khujand, Tajikistan
Objective: To analyze the results of emergency surgery to oncological patients in general surgical and oncological hospitals.
Methods: It has analysed the results of examinations and treatments of 122 patients with complicated forms of malignant neoplasms that treated at SROC in the period from 2012 to 2016.
Results: Indications for emergency surgery in 41 patients with complicated colorectal cancer were: acute intestinal obstruction – 29 (70.7%), perforation of the tumor – 6 (14.6%), bleeding – 1 (2.4%) and paraproctitis – 5 (17.2%) patients. Primarily radical operations in the volume of hemicolectomy were performed in 15 (36.6%) cases. Symptomatic operations were performed in 21 (51.2%) patients with a locally advanced process and with the presence of distant metastases. In addition, 87 cases of emergency operations were analyzed in case of complicated malignant tumours performed in 5 medical institutions of Sogd region in 2012-2016. It was found that in non-core institutions, during the primary operation, surgeons do not always perform the adequate volume of interventions.
Conclusions: Among patients who received emergency surgery in Sogd region for the period of 2012-2016, the most frequent cases are complicated by colorectal cancer, stomach (gastric) cancer and tumours of reproductive system. Of the total number of observed patients (209) in 122 cases (58.4%), patients received specialized care in the Sogdian Regional Oncological Center, and in 87 cases (41.5%) in general surgical hospitals of the region. The presence of severe complications during tumour process is not a sign of non-resectable tumours, and the implementation of emergency operations in general surgery hospital has a number of drawbacks.
Keywords: Complicated malignant neoplasms, emergency surgery, radical operations
Sunginov Jumaboy Rakhmatovich, Doctor of Medical Sciences, Professor of the Department of Oncology, Avicenna TSMU
Huseynzoda Zafar Habibullo, Doctor of Medical Sciences, Director of the Republican Oncological Scientific Center
Mansurov Furkat Saydulloevich, Candidate of Medical Sciences, Director of the Sogdian Regional Oncological Center
Address for correspondence:
Mansurov Furkat Saidulloevich
Candidate of Medical Sciences, Director of the Sogdian Regional Oncological Center
735000, Republic of Tajikistan, Khujand, str. S. Hakimboeva, 4
Tel.: (+992) 927 170004
pages 349 - 353