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Aslanov A.D.

Berbekov Kabardino-Balkarian State University

Logvina O.E.

Berbekov Kabardino-Balkarian State University

Kalibatov R.M.

Berbekov Kabardino-Balkarian State University

Kugotov A.Kh.

Republican Clinical Hospital, Cardiovascular Department

Edigov A.T.

Republican Clinical Hospital, Cardiovascular Department

Kardanova L.Yu.

Berbekov Kabardino-Balkarian State University

Kudusov K.M.

Republican Clinical Hospital, Cardiovascular Department

Shono Arsby Ahmad Adnan

Republican Clinical Hospital, Cardiovascular Department

Zakhokhov R.M.

Republican Clinical Hospital, Cardiovascular Department

Combined operations on vessels and abdominal organs

Authors:

Aslanov A.D., Logvina O.E., Kalibatov R.M., Kugotov A.Kh., Edigov A.T., Kardanova L.Yu., Kudusov K.M., Shono Arsby Ahmad Adnan, Zakhokhov R.M.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(6): 78‑85

DOI: 10.17116/hirurgia202106178

Read: 1721 times

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Table of contents

COMBINED OPERATIONS ON VESSELS AND ABDOMINAL ORGANS
COMBINED OPERATIONS ON VESSELS AND ABDOMINAL ORGANS

To cite this article:

Aslanov AD, Logvina OE, Kalibatov RM, et al. . Combined operations on vessels and abdominal organs. Pirogov Russian Journal of Surgery. 2021;(6):78‑85. (In Russ.)
https://doi.org/10.17116/hirurgia202106178

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

THE AIM OF THE STUDY

Is to describe the experience of combined operations and the expediency of choosing such a tactic for surgical treatment of patients with two or more surgical diseases.

MATERIAL AND METHODS

The results of surgical treatment of 299 patients with vascular lesions in combination with other diseases requiring surgical treatment in 2014–2018 were analyzed. All operations were performed in the cardiovascular department of the GBUZ RKB on the basis of the Department of Hospital Surgery of the KBSU named after V.I. H.M. Berbekov. In the selected group, the proportion of patients of working age was 71%. Combined operations were performed in 151 patients, the remaining 148 people who underwent surgery for cardiovascular and surgical diseases were included in the comparison group. Among them, a combined operation was performed in 79 patients for vascular diseases and in 69 for other diseases.

RESULTS

When analyzing the perioperative period in patients of the main and control groups, there was no significant difference in the parameters of simultaneous surgical interventions (duration of operations, volume of blood loss, the need to increase the dose of catecholamines in the operating and postoperative periods, the incidence of rhythm and conduction disturbances, the duration of artificial ventilation and stay in hospital). It was found that combined operations did not lead to an increase in the number of postoperative complications and an increase in mortality. At the same time, combined operations are possible even with a complex combination of various diseases.

CONCLUSIONS

Combined operations are more justified than staged surgical treatment: 1) the patient is simultaneously cured of 2 or more surgical diseases; 2) the risk of repeated general anesthesia and its negative consequences is eliminated; 3) re-examination and preoperative preparation are excluded; 4) the frequency of progression and recurrence of diseases (infringement of a hernia, exacerbation of cholecystitis, etc.), repeated surgical interventions for concomitant diseases decreases; 5) a single access simplifies the surgical approach to the abdominal organs and is less traumatic; 6) the average time spent by the patient in the hospital, the terms of further rehabilitation and the period of incapacity for work are reduced; 7) combined surgical interventions are economically beneficial.

Keywords:

combined operations
abdominal aortic aneurysm
general hospital

Authors:

Aslanov A.D.

Berbekov Kabardino-Balkarian State University

Logvina O.E.

Berbekov Kabardino-Balkarian State University

Kalibatov R.M.

Berbekov Kabardino-Balkarian State University

Kugotov A.Kh.

Republican Clinical Hospital, Cardiovascular Department

Edigov A.T.

Republican Clinical Hospital, Cardiovascular Department

Kardanova L.Yu.

Berbekov Kabardino-Balkarian State University

Kudusov K.M.

Republican Clinical Hospital, Cardiovascular Department

Shono Arsby Ahmad Adnan

Republican Clinical Hospital, Cardiovascular Department

Zakhokhov R.M.

Republican Clinical Hospital, Cardiovascular Department

Received:

18.08.2020

Accepted:

10.09.2020

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References:

  1. Davydov MI, Aksel EM. Statistics of malignant neoplasms in Russia and the CIS countries in 2004. Vestnik Rossijskogo onkologicheskogo nauchnogo tsentra im. N.N. Blokhina RAMN. 2006;3(17). (In Russ.).
  2. Everhart JE. Gallstones in Digestive Diseases in the United States: Epidemiology and Impact. Edites by Everhart. 2001;28-37. 
  3. Lemenev VL, et al. Simultaneous rectal cancer and abdominal aortic aneurysm. Angiologiya i sosudistaya khirurgiya. 2004;10(2):122-123. (In Russ.).
  4. Kazanchyan PO, Popov VA. Complications in the surgery of abdominal aortic aneurysms. M.: Izd-vo MEI; 2002. (In Russ.).
  5. Dimakakos PB, Arkadopoulos N, Antoniades P, Gouliamos A. Abdominal aortic aneurysm combined with a second intraabdominal non vascular disease — A clinical study and surgical treatment. Swiss Surg. 1996;2(5):2015-2018.
  6. Ghilardi GL, Onghi F, Sgroi G, et al. A rational approach to cholecystectomy in the patient with an abdominal aortic aneurysm. Minerva Chir. 1994;49(12):1289-1293.
  7. Anichkov NN. On the etiology and pathogenesis of atherosclerosis. Arkhiv biologicheskikh nauk. 1935;9:51-85. (In Russ.).
  8. Klimov AN, Nikulcheva NG. Obmen lipidov i lipoproteinov i ego narusheniya. SPb: Piter Kom; 1999. (In Russ.).
  9. Fokin AA, Tereshin OS, Lukin AA, et al. Surgery of abdominal aortic aneurysms in cancer patients. Angiologiya i sosudistaya khirurgiya. Prilozhenie. 2008;3:34. (In Russ.).
  10. Mikhailov IV. Complications of combined operations with resection of the pancreas in gastric cancer. 2004. (In Russ.).
  11. Davydov MI, Gerasimov SS, Shestopalova IM i soavt. Surgical treatment of patients with colorectal cancer and severe concurrent cardio-vascular diseases. Pirogov Russian Journal of Surgery. 2008;8:10-17. (In Russ.).
  12. Aslanov AD, Logvina OE, Taukenova LI, et al. Clinical observation of successful treatment of abdominal aortic aneurysm with rupture. Angiologiya i sosudistaya khirurgiya. 2011;17(1):141-143. (In Russ.).
  13. Andrianov AV, Makarov PA. On the feasibility of performing simultaneous operations in a general hospital. Samarskij meditsinskij arkhiv. 1996;1:45. (In Russ.).
  14. Mansurova GT. Sochetannye operatsii v khirurgicheskom lechenii bol’nykh s posleoperatsionnymi ventral’nymi gryzhami: diss. ... kand. med. nauk. M. 2004. (In Russ.).
  15. Bickerstaff LK, Hollier LH, van Peenen HJ, et al. Abdominal aortic aneurysm repaire combined with a second surgical procedure — morbidity and mortality. Surgery. 1984;95:487-491. 
  16. Pokrovsky AV. Klinichekaya angiologiya. M.: Meditsina; 1979. (In Russ.).
  17. Dadvani SA, Kuznetsov NA, Safronov VV, Inderbiev TS. Combined operations for cholelithiasis. Khirurgiya. 1999;8:37-39. (In Russ.).
  18. Makhovsky VZ. Odnomomentnye sochetannye operatsii v neotlozhnoj i planovoj khirurgii. Stavropol; 2002. (In Russ.).
  19. Belov YuV, Komarov RN. Simultaneous cardiovascular and oncological operations: when, to whom and how? M.: Meditsinskoe informatsionnoe agentstvo; 2012. (In Russ.).
  20. Aslanov AD, Zhigunov AK, Logvina OE, et al. Simultaneous Cardiovascular Surgery. Kardiologiya i serdechno-sosudistaya khirurgiya. 2010;6:54. (In Russ.).
  21. Gulov MKh. The study of the quality of life of patients is an important tool for evaluating the effectiveness of surgical methods for the treatment of complicated peptic ulcer. Vestnik Avitsenny. 2018;20(2-3):181-189. (In Russ.).
  22. Belov YuV, Skipenko OG, Zavenyan ZS, et al. Resection and prosthetics of the abdominal aorta during removal of metastasis of cancer of the sigmoid colon into the paraaortal lymph nodes. Pirogov Russian Journal of Surgery. 2007;3:54-56. (In Russ.).
  23. Fedorov AV, Kriger AG, Kochatkov AV, Kolygin AV. Simultaneous operations. Terminology (literature review and own proposal). Pirogov Russian Journal of Surgery. 2011;7:72-75. (In Russ.).
  24. Fedorov AV, Kriger AG, Kolygin AV, Chernova TG, Goncharova NI, Solodky AV. Assessment of predisposing factors for the risk of complications associated with work. Pirogov Russian Journal of Surgery. 2013;4:31-32. (In Russ.).
  25. Satkeeva AZh. Simultaneous surgical interventions for combined diseases of the abdominal cavity and small pelvis. Molodoj uchenyj. 2016;21: 81-84. (In Russ.). https://moluch.ru/archive/125/34406
  26. Batvinov NI, Kollo IK, Gorelik PV. Abdominal Simultaneous Surgery. Zdravookhranenie Belorussii. 1988;1:29-31. (In Russ.).
  27. Dudkin BP, Telyatnikov SS, Buchin AM, Kirpikov EV. Combined surgery for cecum cancer, abdominal aortic aneurysm and calculous cholecystitis in an elderly patient. Khirurgiya. 1992;3:112-113. (In Russ.).
  28. De Monti M, Ghilaardi G, Bianchi E, et al. Two incidental cases of abdominal aortic aneurysm and gallbladder cancer. Further data influencing the management of patients affected by aneurysm and gallbladder disease. Minerva Cardioangiol. 2000;48(4-5):129-135. 
  29. Heydorn WH, Moncrief WH. Simultaneouse reconstruction of the abdominal aorta and cholecystectomy — a peer review perspective. West J Med. 1992;157:569-571. 
  30. Innocenti C, Defraigne JO, Limet R. Aortic surgery in the presence of cholelithiasis. Should simultaneous cholecystectomy be performed? G Chir. (Paris). 1989;126(3):159-162. 
  31. Robinson G, Hughes W, Lippey E. Abdominal aortic aneurysm and associated colorectal carcinoma: a management problem. Aust NZ J Surg. 1994;64:475-478. 
  32. Tilney H, Trickett J, Scott R. Abdominal aortic aneurysm and gastrointestinal disease: should synchronous surgery be considered? Ann R Coll Surg Engl. 2002;84:414-417. 
  33. Tsuji Y, Watanabe Y, Ataka K, et al. Intraabdominal nonvascular operations combined with abdominal aortic aneurysm repair. World J Surg. 1999;23(5):469-474. 
  34. Hugh TB, Masson J, Graham AR, Tracy GD. Combined gastrointestinal and abdominal aortic aneurysm operations. Aust NZ J Surg. 1988;58:805-810. 
  35. Thomas J, McCroskey B, Iliopoulos J. Aortoiliac reconstruction combined with nonvascular operations. Amer J Surg. 1983;146:784. 
  36. Magdiev TSh, Severinko NV. Combined operations in abdominal surgery. Khirurgiya. 1999;6:54-55. (In Russ.).
  37. Gerbali OYu. Prognozirovanie riska razvitiya oslozhnenij pri vypolnenii simul’tannykh operatsij na organakh bryushnoj polosti: diss. ... dokt. med. nauk. 2019. (In Russ.). https://ma.cfuv.ru/docs/244671
  38. Gantsev ShKh, Gantsev KSh. Surgical treatment of concomitant diseases of the abdominal organs. Kazanskij meditsinskij zhurnal. 2005;86(1): 2-16. (In Russ.).
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