Kubrak M. A., Zavgorodniy S. M., Danilyk M. B.

STRATIFICATION OF POSTOPERATIVE COMPLICATIONS IN PATIENTS WITH COMPLICATED FORMS OF COLON CANCER USING THE CLAVIEN-DINDO SCALE

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About the author:

Kubrak M. A., Zavgorodniy S. M., Danilyk M. B.

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CLINICAL AND EXPERIMENTAL MEDICINE

Type of article:

Scientific article

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Treatment of complicated forms of colon cancer is a rather complex problem, which is associated with high levels of perioperative complications and mortality. The aim of the study is to analyze postoperative complications among patients operated on in general surgical hospitals for complicated forms of colon cancer using the standardized Clavien-Dindo scale. The study included 180 (100%) patients with complicated forms of colon cancer, who were divided into two groups – the main (prospective) group – 109 (60.56%) patients and the comparison group (retrospective) – 71 (39.44%) patients. In the postoperative period, postoperative complications were detected in 32 (45.07%) patients of the compari- son group and in 31 (28.44%) patients of the main group, U=31.50; p=0.0384. There were 15 (21.13%) deaths in the comparison group, in the main group – 12 (11.01%), U=24.00; p=0.0275. In 17 (54.84%) patients of the main group, complications of classes I-III on the CD scale prevailed, while among patients of the comparison group, complications of classes IV and V prevailed – 20 (62.50%) cases. Surgical interventions for complicated forms of colon cancer performed in general surgical hospitals using standard treatment approaches are associated with high levels of postoperative complications – 45.07% in the compar- ison group. The use of a comprehensive perioperative management strategy for patients with complicated forms of colon cancer allows reducing the level of postoperative complications to 28.44%, p=0.0384. The use of the Clavien-Dindo scale for stratification of postoperative complications allows not only to indicate the presence of a particular complication, but also to assess the impact of each complication on the further outcome of the patient's treatment.

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Publication of the article:

«Bulletin of problems biology and medicine», 2025 Issue 3,178, 184-192 pages, index UDC 616.348-006.6-06-089.168-06-02-07-083

DOI:

10.29254/2077-4214-2025-3-178-184-192