[Combined operations on vessels and abdominal organs]

Area of Science:

• Surgical Oncology
• Vascular Surgery
• Multidisciplinary Patient Care

Background:

• Patients often present with multiple surgical conditions requiring intervention.
• Staged surgical treatment can lead to prolonged recovery and increased risks.
• Evaluating combined (simultaneous) surgical approaches is crucial for optimizing patient outcomes.

Purpose of the Study:

• To assess the experience and expediency of combined surgical operations for patients with two or more concurrent surgical diseases.
• To compare the outcomes of combined versus staged surgical interventions.

Main Methods:

• Analysis of surgical treatment results for 299 patients with vascular lesions and other surgical diseases between 2014-2018.
• Comparison of a group undergoing combined operations (n=151) with a control group (n=148) undergoing staged procedures.
• Evaluation of perioperative parameters including operation duration, blood loss, and postoperative recovery.

Main Results:

• No significant differences in perioperative parameters (operation duration, blood loss, ventilation time, hospital stay) between combined and staged surgeries.
• Combined operations did not increase postoperative complications or mortality rates.
• Simultaneous surgical interventions are feasible even for complex combinations of diseases.

Conclusions:

• Combined operations are more advantageous than staged treatments, offering simultaneous disease resolution.
• Eliminates risks associated with repeated anesthesia and reduces the need for re-examinations.
• Simplifies surgical approach, minimizes trauma, and shortens hospital stays and rehabilitation periods.
• Combined surgeries are economically beneficial, reducing overall healthcare costs.