Experience of Complex treatment of elderly and senile patients with myelocarcinosis complicated by pathological vertel fractures

Introduction. Metastatic bone tumors (myelocarcinosis) of epithelial origin in cancers of various localization occur in thirty percent. The appearance of micrometastases in the bones, their growth often outstrips the formation of the primary tumor and leads to pathological fractures. The use of modern complex treatment for multiple bone metastases leads to a slowdown in tumor growth and the complete disappearance of bone metastases.

Materials and methods. To confirm the effectiveness of the developed scheme for the prevention of postoperative infectious complications in simultaneous surgical treatment of lung cancer, stomach cancer, colorectal cancer in patients over 60 years of age with myelocarcinosis, the results of treatment in 60 elderly and senile patients who underwent simultaneous operations 2017–2022 were studied. The patients were divided into 2 groups – the main and control.

Results. It was possible to significantly reduce the frequency of postoperative complications in the main group compared to the control group, the frequency of purulent complications decreased and mortality decreased by 9,55 % compared to the control group.

Conclusions. The effectiveness of simultaneous operations in elderly and senile patients has significantly improved as a result of the use of original, domestic accompanying therapy.

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