Specialized care provided to patients with rectal cancer in Kyiv city.

The major trends in the rectal cancer incidence, detectability, morbidity, and mortality in Kyiv city as well as the state of medical care organization for cancer patients based on the statistical data of Kyiv City Clinical Oncology Center were analyzed. Despite the decrease in morbidity (‒6.3%) and mortality (‒8.1%), the cohort of rectal cancer patients in Kyiv city is increasing (+18.2%). At the same time, one-year mortality (27.0% in 2017), the detection rate at preventive check-ups, the detection rates at the early (I-II) stages are decreasing and at late-stage (IV) are rising (from 14.9% in 2011 to 17.6% in 2017). The above indicates the need for improving the organization of medical care of cancer patients and early diagnostics of rectal cancer.

[The impact of hemodilution and low-molecular-weight fraxiparin on volumetric indexes and frequency of postoperative complications in surgical treatment of patients with oncological diseases]. / Vplyv hemodyliutsiï ta nyz'komolekuliarnoho heparynu fraksyparynu na volemichni pokaznyky ta chastotu pisliaoperatsiinykh uskladen' pry khirurhichnomu likuvanniu patsiientiv z onkolohichnymy zakhvoriuvanniamy.

The influence of moderate hemodilution (HD) and of low-molecular-weight heparin (LMWH) fraxiparine on volumetric indexes (VI) and postoperative complications frequency in 38 patients with cancer recti, to whom intraoperative blood transfusion was not performed, was estimated. Control group consisted of 45 patients, in whom the preserved blood was used for restoration of the blood loss. While application of moderate HD and LMWH the VI had lowered in less extent than while performance of the erythrocytes mass transfusion, the postoperative complications frequency was also lower.