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Frolova Yu.V.

Petrovsky Russian Scientific Center of Surgery

Nikoda V.V.

Petrovsky Russian Scientific Center of Surgery

Tyurina E.A.

Petrovsky Russian Scientific Center of Surgery

Dymova O.V.

Petrovsky National Research Centre of Surgery

Korchazhkina N.B.

Russian research center of surgery named after academician B.V. Petrovsky;
The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

Mikhailova A.A.

Russian research center of surgery named after academician B.V. Petrovsky;
The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

Kotenko K.V.

Russian research center of surgery named after academician B.V. Petrovsky;
The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

Bedzhanyan A.L.

Petrovsky Russian Scientific Center of Surgery

Major risk factors of cardiovascular complications at all stages of surgical treatment of elderly and senile patients with colorectal cancer and concomitant cardiovascular diseases

Authors:

Frolova Yu.V., Nikoda V.V., Tyurina E.A., Dymova O.V., Korchazhkina N.B., Mikhailova A.A., Kotenko K.V., Bedzhanyan A.L.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2023;16(2): 199‑204

DOI: 10.17116/kardio202316021199

Views: 1781

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Table of contents

MAJOR RISK FACTORS OF CARDIOVASCULAR COMPLICATIONS AT ALL STAGES OF SURGICAL TREATMENT OF ELDERLY AND SENILE PATIENTS WITH COLORECTAL CANCER AND CONCOMITANT CARDIOVASCULAR DISEASES
MAJOR RISK FACTORS OF CARDIOVASCULAR COMPLICATIONS AT ALL STAGES OF SURGICAL TREATMENT OF ELDERLY AND SENILE PATIENTS WITH COLORECTAL CANCER AND CONCOMITANT CARDIOVASCULAR DISEASES

To cite this article:

Frolova YuV, Nikoda VV, Tyurina EA, et al. . Major risk factors of cardiovascular complications at all stages of surgical treatment of elderly and senile patients with colorectal cancer and concomitant cardiovascular diseases. Russian Journal of Cardiology and Cardiovascular Surgery. 2023;16(2):199‑204. (In Russ.)
https://doi.org/10.17116/kardio202316021199

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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OBJECTIVE

To analyze the major risk factors of cardiovascular complications at all stages of surgical treatment of elderly and senile patients with colorectal cancer and concomitant cardiovascular diseases.

MATERIAL AND METHODS

We enrolled 97 patients (51 men and 46 women) over 60 years old with comorbid cardiovascular diseases between January 2018 and September 2022. All ones underwent surgery for colorectal cancer including fast track postoperative technologies. Mean age of patients was 72.8±6.8 years.

RESULTS

Complicated postoperative period depended on NYHA class of heart failure, body mass index, heart valve disease and ASA class. Complicated postoperative period significantly lengthened ICU- and hospital-stay.

CONCLUSION

Careful postoperative cardiac monitoring of elderly patients with colorectal cancer indicates potential need for aggressive treatment of pre-existing comorbid diseases.

Keywords:

cardiooncology
colorectal cancer
cardiovascular diseases
oncosurgery
gut microbiota

Authors:

Frolova Yu.V.

Petrovsky Russian Scientific Center of Surgery

Nikoda V.V.

Petrovsky Russian Scientific Center of Surgery

Tyurina E.A.

Petrovsky Russian Scientific Center of Surgery

Dymova O.V.

Petrovsky National Research Centre of Surgery

Korchazhkina N.B.

Russian research center of surgery named after academician B.V. Petrovsky;
The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

Mikhailova A.A.

Russian research center of surgery named after academician B.V. Petrovsky;
The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

Kotenko K.V.

Russian research center of surgery named after academician B.V. Petrovsky;
The Moscow state medical University named after A.I. Evdokimov of the Ministry of health of Russia

Bedzhanyan A.L.

Petrovsky Russian Scientific Center of Surgery

Received:

10.10.2022

Accepted:

15.11.2022

List of references:

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  2. Mandalà M, Roila F. Colorectal cancer and cardiovascular diseases: Are we closing the gap between knowledge and action? European Journal of Internal Medicine. 2021;87:13-14.  https://doi.org/10.1016/j.ejim.2021.03.021
  3. Whelton SP, et al. Multidisciplinary prevention and management strategies for colorectal cancer and cardiovascular disease. European Journal of Internal Medicine. 2021;87:3-12.  https://doi.org/10.1016/j.ejim.2021.02.003
  4. Bosetti C, et al. Aspirin and the risk of colorectal and other digestive tract cancers: an updated meta-analysis through 2019. Ann Oncol. 2020;31:558-568. 
  5. Dekker E, Tanis PJ, Vleugels JLA, Kasi PM, Wallace MB. Colorectal cancer. Lancet. 2019;394(10207):1467-1480. https://doi.org/10.1016/S0140-6736(19)32319-0
  6. Govaert JA, Fiocco M, van Dijk WA, et al. Dutch Value Based Healthcare Study Group. Costs of complications after colorectal cancer surgery in the Netherlands: building the business case for hospitals. Eur J Surg Oncol. 2015;41(8):1059-1067. https://doi.org/10.1016/j.ejso.2015.03.236
  7. Frolova YuV, Sysoev SA, Tyurina EA, Nikoda VV, Zaitsev AYu, Dymova OV, Bedzhanyan AL. Evaluation of the effect of comorbid heart failure with preserved left ventricular ejection fraction on the management of cancer patients before and after radical surgery. Pirogov Journal of Surgery. 2021;6(2):45-51. (In Russ.). https://doi.org/10.17116/hirurgia202106245
  8. Bedzhanyan AL, Bagmet NN, Nikoda VV, Zaitsev AYu, Sysoev SYu, Dymova OV, Tyan AG, Frolova YuV. Surgical treatment of elderly and senile cancer patients with concomitant cardiovascular pathology. Clinical and experimental surgery. Petrovsky Journal. 2020;8(4):35-42. (In Russ.). https://doi.org/10.33029/2308-1198-2020-8-4-35-42
  9. 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery. European Heart Journal. 2022. https://doi.org/10.1093/eurheartj/ehac270
  10. Tom van den Bosch M.Sc.et al. Predictors of 30-Day Mortality Among Dutch Patients Undergoing Colorectal Cancer Surgery, 2011—2016. JAMA Netw Open. 2021;4(4):e217737. https://doi.org/10.1001/jamanetworkopen.2021
  11. Nishikawa T, et al. Multicentre cohort study of the impact of percutaneous coronary intervention on patients with concurrent cancer and ischaemic heart disease. BMC Cardiovasc Disord. 2021;21(1):177.  https://doi.org/10.1186/s12872-021-01968-w
  12. Kim H, et al. Cardiovascular morbidities in postoperative colorectal cancer patients. Sci Rep. 2021;11(1):21359. https://doi.org/10.1038/s41598-021-00735-3
  13. Hisamatsu Y, et al. Indications for laparoscopic surgery for older rectal cancer patients with comorbidities. Surg Today. 2021;51(5):721-726.  https://doi.org/10.1007/s00595-020-02140-1
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