neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2023-25-4-114-118neurosurgery-1457Research ArticleЛЕКЦИЯLECTUREОсложнения операций в нейрохирургииComplications of operations in neurosurgeryhttps://orcid.org/0000-0001-6321-4557ШнякинП. Г.ShnyakinP. G.

Павел Геннадьевич Шнякин,

660022 Красноярск, ул. Партизана Железняка, зд. 1

Bld. 1 Partizana Zheleznyaka St., Krasnoyarsk 1660022

shnyakinpavel@mail.ruhttps://orcid.org/0000-0002-1209-8960РзаевД. А.RzaevD. A.

630091 Новосибирск, Красный пр-кт, 52;

630087 Новосибирск, ул. Немировича-Данченко, 132/1

52 Krasny Ave., Novosibirsk 630091;

132/1 Nemirovicha-Danchenko St., Novosibirsk 630087

https://orcid.org/0000-0003-2444-0513РуденкоП. Г.RudenkoP. G.

660022 Красноярск, ул. Партизана Железняка, зд. 1

Bld. 1 Partizana Zheleznyaka St., Krasnoyarsk 1660022

ФГБОУ ВО «Красноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого» Минздрава РоссииРоссияV.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of RussiaRussian FederationФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава России; ФГБУ «Федеральный центр нейрохирургии» Минздрава РоссииРоссияNovosibirsk State Medical University, Ministry of Health of Russia; Federal Neurosurgical Center (Novosibirsk), Ministry of Health of RussiaRussian Federation202328012024254114118Copyright © Шнякин П.Г., Рзаев Д.А., Руденко П.Г., 20242024Шнякин П.Г., Рзаев Д.А., Руденко П.Г.Shnyakin P.G., Rzaev D.A., Rudenko P.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1457

Осложнения операций являются негативными, но неизбежными спутниками хирургии и определяют неудовлетворенность исходом лечения как у врача, так и у пациента. Соответственно, улучшение результатов оперативного лечения сопряжено не только с совершенствованием техники и мастерства хирурга, но и с профилактикой и борьбой с осложнениями. На этом пути необходимо анализировать случаи осложнений из собственной практики и делиться негативным опытом в научных публикациях, на конференциях, в образовательном процессе. Несмотря на значимость проблемы, в хирургической литературе до сих пор нет единого утвержденного определения «осложнение операции», и мнения специалистов на этот счет расходятся. Достаточно трудно анализировать научные публикации по данной теме, когда разные показатели частоты и структуры осложнений могут определяться разным пониманием специалистами самого термина «осложнение». В данном обзоре представлены основные подходы к определению «осложнение операции», а также предложенные некоторыми авторами другие дефиниции («последствие операции», «нежелательные периоперационные события»). На основании проведенного обзора предложен свой вариант использования терминов.

Complications of operations are negative, but inevitable companions of surgery and determine dissatisfaction with the outcome of treatment for both the doctor and the patient. In this regard, the improvement of the results of surgical treatment is associated not only with the improvement of the technique and skill of the surgeon, but also with the prevention and control of complications. On this path, it is necessary to analyze complications from your own practice and share negative experiences in scientific publications, at conferences, in the educational process. Despite the significance of the problem, there is still no single approved definition of “complication of surgery” in the surgical literature, and experts’ opinions on this matter differ. It is quite difficult to analyze scientific publications on this topic when different indicators of the frequency and structure of complications can be determined by different understanding of the term “complication” by specialists. This review presents the main approaches to the definition of “complication of surgery”, as well as other definitions proposed by some authors (“consequence of surgery”, “undesirable perioperative events”). Based on the conducted review, a variant of the use of terms is proposed.

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The authors declare that there are no conflicts of interest present.