Palliative surgery

Palliative surgery is a surgical operation that is performed on patients in order to alleviate symptoms, improve quality of life and eliminate complications caused by the disease. The intervention is performed on cancer patients at late stages, when it is no longer possible to completely remove the tumor and metastases.

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Indications for palliative surgery

Palliative surgery is not a radical treatment method, since the tumor and/or metastases are removed only partially.

Surgery also involves eliminating complications caused by cancer that interfere with the free flow of blood, bile through the vessels, breathing or digestion.

As a result of the intervention, it is possible to alleviate the condition and prolong the life of a person with a serious diagnosis.

Indications for palliative surgery:

  • Hormone-dependent tumors (of the sex glands and organs) that are sensitive to drug treatment, radiation or chemotherapy. In this case, partial removal of the cancerous tumor allows you to reduce the scope of surgical intervention due to combination therapy
  • Extensive tumors and metastases in the last stages of cancer that cannot be completely resected. Palliative surgery helps reduce the size of the tumor and eliminate compression of nearby organs
  • Complications caused by the underlying incurable disease. Palliative surgery helps restore vital functions of the body suppressed by tumor growth

The attending physician makes a decision on surgical intervention based on the clinical picture of a particular patient and issues a referral.

In some cases, surgery is the first stage of combination therapy.

Indications for palliative surgery

Types of palliative surgeries

Palliative surgeries can be performed on the tumor itself or metastases, as well as on other organs involved in the oncological process. They are necessary both to eliminate the consequences of complications and to prevent them.

Operations to ensure the patency of the digestive system

Digestive cancer provokes intensive tumor growth, blocking the lumen in the stomach, various parts of the intestine and esophagus. This leads to obstruction of food or feces, and can cause obstructive processes inside the abdominal cavity.

Palliative surgery involves the imposition of bypass anastomoses, colostomies, bringing a section of the intestine to the external abdominal wall and installing colostomy bags. This eliminates obstruction, ensures the removal of feces, and alleviates the patient's condition.

Palliative surgery for urinary tract obstruction

As the tumor grows, the lumen of urine outflow from the kidneys, bladder or ureters is often blocked. To facilitate the process and prevent renal failure, the following is performed:

  • Installation of a nephrostomy with a puncture of the posterior abdominal wall and drainage
  • Ureteral stenting to preserve the lumen between the kidney and the urinary tract
  • Installation of an artificial urinary collector (after removal of the bladder), urine diversion using a urostomy or ureterocutaneostomy

The doctor selects techniques that help preserve the patient's organs and ensure minimal intervention.

Operations to stop bleeding

Tumor growth into blood vessels or destruction of tumor tissue causes bleeding. This leads to dangerous consequences, in which the blood clots in the vessels. To stop the bleeding, the vessel is ligated before the operation.

Ensuring breathing

Tumor growth in the throat and neck area blocks the airways. To ensure air supply directly to the bronchi, a tracheostomy is installed. The tube is inserted into the trachea through a through hole, which helps facilitate the patient's breathing.

Palliative surgeries to normalize bile drainage

Obstruction of the bile ducts leads to the development of jaundice and severe intoxication of the body. Patients with tumors in the liver, intestines or pancreas may require the installation of stents and bypass anastomoses with drainage.

Accumulation of fluid in body cavities

Cancer of the abdominal and pelvic organs often leads to ascites. This causes effusion and accumulation of fluid in the abdominal space. To remove it, laparocentesis is performed - a minimally invasive surgical intervention in which the pathological contents are removed through a drainage hole in the abdominal wall.

Hydrothorax

Tumors of the lungs and pleura provoke the accumulation of fluid in the lower respiratory tract. This leads to a strong cough and can even provoke pulmonary edema. To eliminate hydrothorax, the doctor makes a puncture in the sternum and installs drainage.

Methods of palliative surgery

Surgical intervention in terminal stages of oncology involves:

  • Palliative surgeries - installation of stents, stomas, anastomoses, pulmonary filters, venous port systems to eliminate or prevent complications caused by an increasing tumor
  • Palliative resection - partial removal of a tumor or metastases

In terminal stages, patients often undergo both types of palliative surgery.

Post-surgical care

Oncology patients require 24-hour care and monitoring after surgery. At the K+31 clinic, doctors and nurses provide medical, psychological and social care to people with incurable diseases. After palliative surgery and chemotherapy, medical staff provides 24-hour care and attention to the patient. They are aimed at improving the condition and include: hygiene procedures, dressings, pain relief, psychological and drug support.

Frequently asked questions

How is preparation for palliative surgery carried out?

The patient preparation plan depends on the type of palliative surgery. Most often, infusion therapy is performed to correct the electrolyte balance; additionally, the doctor may prescribe tests and medications before the surgery.

Complications after palliative surgeries

After surgery, the following are possible: bleeding, infection, blood clots and adhesions, anastomotic failure, peritonitis. To reduce the risk of complications, the patient needs qualified medical care and inpatient observation during the entire rehabilitation period.

Recovery and prognosis after palliative surgeries

The intervention is carried out in order to alleviate the patient's condition and reduce the burden of complications caused by oncology. A high-quality palliative surgery and proper care help improve the patient's well-being and make his life more comfortable, despite an incurable disease.

Our doctors

Sharkova Nataliya Evgenievna
Experience 24 years
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Sharkova
Nataliya Evgenievna
Head of the Therapy Department, Cardiologist, Therapist
Sypkova Zarina Igorevna
Experience 16 years
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Sypkova
Zarina Igorevna
Project manager for quality and safety of medical activities
Tatarenko Alena Igorevna
Experience 9 years
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Tatarenko
Alena Igorevna
Neurologist, parkinsonologist, psychiatrist
Kolosvetova Irina Igorevna
Experience 6 years
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Kolosvetova
Irina Igorevna
General practitioner
Esenov Viktor Valerievich
Experience 4 years
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Esenov
Viktor Valerievich
Physiotherapist, physical rehabilitation doctor
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Reviews 8

My mother was in the hospital for eight days. A huge thank you to the entire hospital team and our doctor, Irina Igorevna Kolosvetova – always patient, positive, and ready to help. Thanks to her, my mother is feeling better!!! I am incredibly grateful to Irina Igorevna. We need more doctors like her!!! Thank you!!!
30.09.2025
R.Yu.
A very attentive and competent doctor
18.09.2025
D. Olga Vladimirovna
The most professional doctor we have met in our entire long life) Thank you again!
16.09.2025
G. Natalia Olegovna
Sharkova Natalia Evgenievna is the best professional, with the highest knowledge in the field of therapy and cardiology! I highly recommend this doctor
08.08.2025
Anonymously
I really liked the clinic. I had an appointment with neurologist Tatarenko Alena Igorevna, an excellent specialist, I recommend her. And when conducting pulse therapy, I want to express special gratitude to the nurse Andreeva Marina Mikhailovna, she set up the IV perfectly, I have never seen such an approach.
08.08.2025
Anonymously
I would like to express my deep gratitude to the cardiologist Natalia Evgenievna Sharkova!!! I am undergoing targeted therapy in this clinic. The ultrasound of the heart showed that there are changes in my heart. And if there are further deteriorations, then I will have to interrupt the treatment. Natalia Evgenievna received me very attentively. She prescribed treatment that turned out to be very effective. The therapy did not have to be interrupted. The ultrasound showed good results. I recommend this clinic and this doctor to everyone.
08.08.2025
Anonymously
A very good specialist, I am glad that there are such doctors, long life to them.
26.07.2025
R. Yunus Akhmatovich
While in the therapeutic department of the hospital, from 01.07 to 03.07 2025, I was once again convinced that money does not solve anything, but people like Sharkova Natalya Evgenievna and Kolosvetova Irina Igorevna do. Thanks to these wonderful doctors, nurses, barmaids, who "pulled" me out of a terrible attack! I thank the management of the clinic for the excellently selected staff! Special thanks to Sharkova N.E. for the most prompt decision on my hospitalization. May the entire staff of the hospital be healthy! God bless you!
05.07.2025
G. Tatyana Anatolyevna
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