Prospects for development of laparoscopic surgery in the Central Federal District of the Russian Federation

Sazhin V.P.

Vishnevsky National Medical Research Center of Surgery;
Pavlov Ryazan State Medical University

ORCID: 0000-0001-9452-1656

Fedorov A.V.

Vishnevsky National Medical Research Center for Surgery

ORCID: 0000-0002-8456-8685

Panin S.I.

Volgograd State Medical University

SPIN RSCI: 8303-5413
Scopus AuthorID: 57198338379
ORCID: 0000-0003-4086-2054

Sazhin I.V.

Pirogov Russian National Research Medical University

ORCID: 0000-0002-8073-6717

Yudin V.A.

Pavlov Ryazan State Medical University

ORCID: 0000-0001-6385-7413

Podyablonskaya I.A.

Pavlov Ryazan State Medical University

ORCID: 0000-0002-6779-666X

Linchenko D.V.

Volgograd State Medical University

ORCID: 0000-0001-9016-8883

Prospects for development of laparoscopic surgery in the Central Federal District of the Russian Federation

Authors:

Sazhin V.P., Fedorov A.V., Panin S.I., Sazhin I.V., Yudin V.A., Podyablonskaya I.A., Linchenko D.V.

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Journal: Pirogov Russian Journal of Surgery. 2023;(9): 5‑12

DOI: 10.17116/hirurgia20230915

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To cite this article:

Sazhin VP, Fedorov AV, Panin SI, Sazhin IV, Yudin VA, Podyablonskaya IA, Linchenko DV. Prospects for development of laparoscopic surgery in the Central Federal District of the Russian Federation. Pirogov Russian Journal of Surgery. 2023;(9):5‑12. (In Russ.)
https://doi.org/10.17116/hirurgia20230915

Подписка 2025-2 (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To analyze the achievements of laparoscopic surgery in the Central Federal District of Russia and outline perspective trends for further application.

MATERIAL AND METHODS

The study included adult patients with abdominal surgical diseases hospitalized in general surgical departments of the Central Federal District between 2014 and 2021. We analyzed the prevalence of elective and emergency laparoscopic surgeries. Incidence and results of laparoscopic interventions between 2018 and 2021 were estimated considering primary statistical data presented in the annual collections of the Chief Surgeon of the Ministry of Health of Russia «Surgical care in the Russian Federation».

RESULTS

The absolute number of laparoscopic surgeries in the Central Federal District increased from 23.686 to 80.489 (by 3.4 times) between 2014 and 2021. The annual number of elective laparoscopic surgeries exceeded the number of emergency ones up to 2019. In 2020—2021, this situation changed in favor of emergency abdominal procedures. Laparoscopic surgeries are the most common for in acute cholecystitis (71.06—81.10% of all laparoscopic interventions annually) and acute appendicitis (46.85—55.60%). In 2020 and 2021, the absolute number of laparoscopic appendectomies exceeded the number of laparoscopic cholecystectomies. These values are lower for perforated ulcers (15.44—20.39%) and acute pancreatitis (32.40-36.71%). Laparoscopic operations are rare for acute intestinal obstruction, strangulated hernia and ulcerative gastroduodenal bleeding. In elective surgery, high availability of laparoscopic surgeries was noted in patients with cholelithiasis (89.40—93.78%), hiatal hernia (62.12—77.27%) and adrenal gland diseases (64.23—87.25%). The most intensive increment of availability (by 2.4 times) was noted for inguinal hernia from minimum level (10.98%) in 2018 to 26.00% in 2021. Mortality after some laparoscopic operations decreased in comparison with laparotomy by 12—45 times (2018—2021). However, this aspect and results of laparoscopic surgeries in case of delayed hospitalization require additional study.

CONCLUSION

Analysis of laparoscopic surgery showed the timeliness of beginning and development of this direction In Russia. The prospect of further development of laparoscopic surgery for abdominal diseases is determined by modern trends. These are increase in the number of laparoscopic operations for acute appendicitis, acute cholecystitis and perforated ulcers, as well as higher number of early (after admission) operations.

Keywords:

laparoscopy

laparoscopic operations

laparotomy

endoscopic hernia repair

acute abdominal diseases

emergency surgical care

mortality

Authors:

Sazhin V.P.

Vishnevsky National Medical Research Center of Surgery;
Pavlov Ryazan State Medical University

ORCID: 0000-0001-9452-1656

Fedorov A.V.

Vishnevsky National Medical Research Center for Surgery

ORCID: 0000-0002-8456-8685

Panin S.I.

Volgograd State Medical University

SPIN RSCI: 8303-5413
Scopus AuthorID: 57198338379
ORCID: 0000-0003-4086-2054

Sazhin I.V.

Pirogov Russian National Research Medical University

ORCID: 0000-0002-8073-6717

Yudin V.A.

Pavlov Ryazan State Medical University

ORCID: 0000-0001-6385-7413

Podyablonskaya I.A.

Pavlov Ryazan State Medical University

ORCID: 0000-0002-6779-666X

Linchenko D.V.

Volgograd State Medical University

ORCID: 0000-0001-9016-8883

Received:

10.02.2023

Accepted:

13.03.2023

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