The complications of early postoperative period for treatment of supratentorial recurrent gliomas

Objective: to estimate the influence of surgical intervention on the frequency of postoperative complications occurrence in patients with supratentorial recurrent gliomas . Materials and methods. The retrospective analysis of frequency of postoperative complications in 97 patients with supratentorial gliomas operated initially and repeatedly at the base of the Clinic of Neurosurgery of the Military Medical Academy (1998 - May 2014) was performed. The features of early postoperative period in such patients were studied. The studied group included patients with recurrent gliomas, the control group - patients with primary gliomas. Results. There were no statistically significant differences for complications occurrence in early postoperative period (26,5% in studied group compared with 20,8% in control group (r=0,47)). The general surgical complications were diagnosed in 13,5% of patient after primary surgery and in 22,9% of cases after reoperation, increase of focal neurologic deficit was seen in 25,0% and in 27,7% (r=0,81) consequently. The significant difference concerning the rate of lethality was not detected. The increase of local complications rates and system complications significantly does not differ in both groups, though the tendency to the higher occurrence of extracranial inflammatory complications was observed in group of patients with recurrent gliomas. Conclusions. The occurrence of early postoperative focal neurologic complications in patients with recurrent gliomas is comparable to this parameter for primary gliomas, however there is the tendency for higher frequency of extracranial inflammatory complications in patients with recurrent gliomas. The obtained data can be the base for making the decision for surgical treatment possibility of recurrent gliomas.

глиомы, рецидив, удаление, осложнения, первичные и повторные операции, gliomas, recurrence, removal, complications, primary and repeated operations

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