Immediate results of extended and combined operations in patients with locally advanced pelvic cancer
The study aimed to evaluate the immediate results of multi - visceral resections of the pelvic organs in 319 patients with locally advanced pelvic cancer. The average age is 67.2±9.8 years (41-89 years), women - 172 (53.9%), men - 147 (46.1%). From 2009 to 2020, all patients underwent combined (n=141) and extended (n=178) surgical interventions of various volume, 89 patients underwent evisceration of the pelvic organs. Postoperative complications were observed in 136 patients (42.6%). Postoperative mortality - 4.4%. The incidence of complications after surgery in patients with a complicated tumor course (104 cases, 63.8%) was significantly higher than in uncomplicated ones (59, 36.2%). Complications developed significantly more often after combined (78 cases, 57.3%) operations than after extended ones (58, 42.7%). Purulent - septic complications were more common (33.7% in the structure). Despite the traumatic nature of extended and combined operations, the immediate results can be regarded as satisfactory with adequate provision of the perioperative period.