To the problem of brain surgery complications (review)
https://doi.org/10.18699/SSMJ20210104
Abstract
The development of complications as a result of neurosurgical operations is an urgent problem nowadays. Various approaches to the classification of complications are presented in the literature. They are based on the nature of the complications, the time of development, the duration of the neurological deficit, the direct connection of the complications with the surgical intervention, methods of their treatment, etc. On the average, the complication rate ranges from 5 to 28 %. In brain operations, the risk of complications is higher than in spinal surgery. The reasons for their development are various and are associated with surgical intervention, the course of the postoperative period, the somatic status of the patient before surgery and the initial pathology that required surgical treatment. From 7 to 24 % of patients require readmission within 30 days after discharge from the hospital due to complications. There are infectious, thromboembolic complications and the appearance or growth of a neurological deficit. The development of complications is associated with a deterioration in the quality of treatment, an increased risk of patient disability and death.
About the Authors
P. G. Shnyakin
Krasnoyarsk State Medical University n.a. professor V.F. Voino-Yasenetsky of Minzdrav of Russia
Russian Federation
Russian Federation
Pavel G. Shnyakin, doctor of medical sciences
660022, Krasnoyarsk, Partisana Zheleznyaka str., 1
I. E. Milekhina
Krasnoyarsk State Medical University n.a. professor V.F. Voino-Yasenetsky of Minzdrav of Russia
Russian Federation
Russian Federation
Ilona E. Milekhina, candidate of medical sciences
660022, Krasnoyarsk, Partisana Zheleznyaka str., 1
I. A. Kazadaeva
Krasnoyarsk State Medical University n.a. professor V.F. Voino-Yasenetsky of Minzdrav of Russia
Russian Federation
Russian Federation
Inna A. Kazadaeva
660022, Krasnoyarsk, Partisana Zheleznyaka str., 1
References
1. Timofeev I.V. Pathology of treatment (guide for doctors). Saint-Petersburg: Severo-Zapad, 1999. 656 р. [In Russian].
2. Sawaya R., Hammound M., Schoppa D., Hess K.R., Wu S.Z., Shi W.M., Wildrick D.M. Neurosergical outcomes in a modern series of 400 craniotomies for treatment of parenchymal tumors. Neurosergery. 1998; 42 (5): 1044–1056. doi: 10.1097/00006123199805000-00054
3. Landriel Ibañez F.A., Hem S., Ajler P., Vecchi E., Ciraolo C., Baccanelli M., Tramontano R., Knezevich F., Carrizo A. A new classification of complications in neurosurgery. World Neurosurg. 2011; 75 (5-6): 709–715. doi: 10.1016/j.wneu.2010.11.010
4. Houkin K., Baba T., Minamida Y., Nonaka T., Koyanagi I., Iiboshi S. Quantitative analysis of adverse events in neurosurgery. Neurosurgery. 2009; 65 (3): 587–594. doi: 10.1227/01.NEU.0000350860.59902.68
5. Bydon M., Abt N.B., de la Garza-Ramos R., Macki M., Witham T.F., Gokaslan Z.L., Bydon A., Huang J. Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients. J. Neurosurg. 2015; 122 (4): 955–961. doi: 10.3171/2014.11.JNS14890
6. Rolston J.D., Han S.J., Lau C.Y., Berger M.S., Parsa A.T. Frequency and predictors of complications in neurological surgery: national trends from 2006 to 2011. J. Neurosurg. 2014; 120 (3): 736–745. doi: 10.3171/2013.10.JNS122419
7. Schiavolin S., Broggi M., Acerbi F., Brock S., Schiariti M., Cusin A., Visintini S., Leonardi M., Ferroli P. The impact of neurosurgical complications on patients’ health status: a comparison between different grades of complications. World Neurosurgery. 2015; 84 (1): 36–40. doi: 10.1016/j.wneu.2015.02.008
8. Cote D.J., Karhade A.V., Larsen A.M., Burke W.T., Castlen J.P., Smith T.R. United States neurosurgery annual case type and complication trends between 2006 and 2013: An American College of Surgeons National Surgical Quality Improvement Program analysis. J. Clin. Neurosci. 2016; 31: 106–111. doi: 10.1016/j.jocn.2016.02.014
9. Linzey J.R., Burke J.F., Sabbagh M.A., Sullivan S.E., Thompson B.G., Muraszko K.M., Pandey A.S. The effect of surgical start time on complications associated with neurological surgeries. Neurosurgery. 2018; 83 (3): 501–507. doi: 10.1093/neuros/nyx485
10. Sarnthein J., Stieglitz L., Clavien P.A., Regli L. A patient registry to improve patient safety: recording general neurosurgery complications. PLoS One. 2016; 11 (9): e0163154. doi: 10.1371/journal.pone.0163154
11. Dickinson H., Carico C., Nuño M., Mukherjee D., Ortega A., Black K.L., Patil C.G. Unplanned readmissions and survival following brain tumor surgery. J. Neurosurg. 2015; 122 (1): 61–68. doi: 10.3171/2014.8.JNS1498
12. Nuño M., Ly D., Ortega A., Sarmiento J.M., Mukherjee D., Black K.L., Patil C.G. Does 30-day readmission affect long-term outcome among glioblastoma patients? Neurosurgery. 2014; 74 (2): 196–204. doi: 10.1227/NEU.0000000000000243
13. Buchanan C.C., Hernandez E.A., Anderson J.M., Dye J.A., Leung M., Buxey F., Bergsneide M., Afsar-Manesh N., Pouratian N., Martin N.A. Analysis of 30-day readmissions among neurosurgical patients: surgical complication avoidance as key to quality improvement. J. Neurosurg. 2014; 121 (1): 170–175. doi: 10.3171/2014.4.JNS13944
14. Marcus L.P., McCutcheon B.A., Noorbakhsh A., Parina R.P., Gonda D.D., Chen C., Chang D.C., Carter B.S. Incidence and predictors of 30-day readmission for patients discharged home after craniotomy for malignant supratentorial tumors in California (19952010). J. Neurosurg. 2014; 120 (5): 1201–-1211. doi: 10.3171/2014.1.JNS131264
15. Taylor B.E., Youngerman B.E., Goldstein H., Kabat D.H., Appelboom G., Gold W.E., Connolly E.S. Causes and timing of unplanned early readmission after neurosurgery. Neurosurgery. 2016; 79 (3): 356–369. doi: 10.1227/NEU.0000000000001110
16. Moghavem N., Morrison D., Ratliff J.K., Hernandez-Boussard T. Cranial neurosurgical 30-day readmissions by clinical indication. J. Neurosurg. 2015; 123 (1): 189–197. doi: 10.3171/2014.12.JNS14447
Review
For citations:
Shnyakin P.G., Milekhina I.E., Kazadaeva I.A. To the problem of brain surgery complications (review). Сибирский научный медицинский журнал. 2021;41(1):44-49. (In Russ.) https://doi.org/10.18699/SSMJ20210104
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