Yakut Republican Oncological Dispensary

The bed capacity of the Yakutsk Republican Oncological Dispensary is 120 round-the-clock beds, including 85 oncological and 35 radiological beds, 17 day beds. The dispensary has 4 inpatient departments, a polyclinic department for 144 visits per shift, a radiation diagnostics department, a clinical and diagnostic laboratory, a cytological laboratory, an endoscopic office, and an organizational and methodological department.

History

2023: Mishustin allocated 1.2 billion rubles for the completion of the Yakut oncology center

Prime Minister Mikhail Mishustin signed an order, which allocated 1.26 billion rubles for the completion of the Yakutsk Republican Oncological Dispensary. The press service of the Cabinet of Ministers announced this on November 20, 2023.

The total area of ​ ​ the facility under construction is 26.3 thousand square meters. m. It will include a clinic for 210 visits per day, as well as a hospital capable of receiving up to 180 patients. It is expected that the new medical facility will be commissioned by the end of 2023.

Another 1.26 billion rubles were allocated for the completion of the republican oncological dispensary

The topic of additional funding required to complete the construction of the oncology dispensary was discussed during Mikhail Mishustin's working trip to the Far Eastern Federal District. This, in particular, was discussed during the meeting of the Prime Minister of the Russian Federation with the head of Yakutia Aisen Nikolaev.

Commenting on the decision to allocate funds at a meeting with deputy prime ministers on November 20, 2023, Mishustin recalled that on behalf of the president, a specialized federal project is being implemented in Russia, within the framework of which the necessary infrastructure is being created in the regions, processes and methods of providing medical care are being improved, and systematic research work is being carried out.

In general, it is necessary to continue to do everything necessary to prevent and detect such diseases in the early stages and to increase the availability of modern specialized assistance for citizens of all Russian regions, Mishustin said.

With a request to assist in the direction of additional funds in the amount of 1.8 billion rubles to complete the construction of a medical facility, Aysen Nikolaev turned to Vladimir Putin in September 2023. He referred to the conclusion of the Glavgosexpertiza of February 21, 2023, which revealed an additional need for funding in connection with the rise in the cost of construction materials and equipment.

Government of the Russian Federation Resolution of November 17, 2023 No. 3239-r

2022: Mishustin allocated 0.5 billion rubles for the cancer center in Yakutsk

In connection with the rise in prices for the construction of the second stage of the Yakutsk Republican Oncological Dispensary, Prime Minister Mikhail Mishustin signed an order, which allocated another 542.4 million rubles for the implementation of the project. This was announced on August 22, 2022 by the press service of the head of the Republic of Yakutia.

Earlier in August 2022, Mikhail Mishustin visited the capital of Yakutia. At the bilateral meeting, the head of the Republic of Aysen Nikolaev noted that in connection with the rise in the cost of building materials and equipment, additional funding is needed to complete the construction of the cancer center.

Mishustin allocated 0.5 billion rubles for the cancer center in Yakutsk

Unfortunately, due to objective processes, due to changes, including the requirements that are rather seriously imposed on these facilities, due to the rise in the cost of equipment as a whole, which has inevitably happened over the past four years, we have a certain increase in prices - about 2.8 billion rubles, - said Nikolaev in a conversation with Mishustin.

Obviously, it is necessary to complete the construction, please prepare the documentation then. All confirmations, examinations will be by the end of the year, and we will consider, try to help, - the prime minister replied.

The readiness of the facility by August 22, 2022 is estimated at 75-77%, and the 4.2 billion rubles provided for its construction are almost completely spent. The cancer center will operate a hospital with 180 beds, a clinic with 210 visits per day and a utility unit. According to Aisen Nikolaev, the cancer center will be able to receive a full range of medical care for all types of cancer localization, including high-tech medical care.

In addition, 1 billion 080 million 870 thousand rubles will be allocated to Yakutia to implement the program for the modernization of the primary health care of the national project "Health" in connection with the rise in the cost of construction of facilities - 399 million 898.7 thousand rubles in 2022 and 680 million 971.3 thousand rubles in 2023.^[1]

2021: Initiation of a criminal case against the leaders of the drug dispensary after the patient attacked the patients

On October 18, 2021, the Investigative Committee of Russia (TFR) announced the initiation of a criminal case after a patient attacked patients at the Yakutsk Republican Narcological Dispensary.

According to the press service of the TFR, on the evening of October 16, 2021, a man stabbed five patients of the institution with stab wounds to the chamber of the State Budgetary Institution of the Republic of Sakha (Yakutia) "Yakutsk Republican Narcological Dispensary." As a result, one of the men died, four were taken to a medical facility with injuries. According to an Interfax source, the armed attack occurred "during a night quarrel." The informed interlocutor also told the agency that the cause of the attack, previously, was the unstable psychological state of the attacker.

In Yakutia, a criminal case was opened against the leaders of the drug dispensary after a patient attacked patients

According to preliminary data, a man who may have mental abnormalities took advantage of the fact that his neighbors on the ward were sleeping, and attacked them with a knife. Life reported that the attacker was 47-year-old Prokopiy T. (the publication did not disclose the name).

The suspect in the attack on patients was detained, a case was opened against him under Part 1 of Article 105 (murder) and Part 3 of Article 30, paragraph "a" of Part 2 of Article 105 of the Criminal Code of the Russian Federation (attempted murder of two or more persons). In addition, the Yakut department of the Investigative Committee of Russia opened a criminal case under Part 2 of Article 293 of the Criminal Code of the Russian Federation (negligence, resulting in negligence causing grievous bodily harm and death of a person). As established by the materials of the criminal case, what happened became possible due to the improper performance by officials of the narcological dispensary of their duties, the press service of the TFR reported.

By October 18, 2021, investigators are conducting a set of investigative and procedural actions aimed at establishing the causes and circumstances of the incident.^[2]

2017: Testing of the radiofrequency ablation method in the treatment of cancer patients

On October 18, 2017, a method of radiofrequency ablation in the surgical treatment of cancer patients was tested at the Yakutsk Republican Oncological Dispensary. The method was tested using the Cool tip-E.^[3]

Doctors of the oncological dispensary tested the device for radiofrequency treatment of cancer patients

Master class

A master class for Yakut oncology surgeons on the use of the radiofrequency ablation method was conducted by Vadim Vishnevsky, Candidate of Medical Sciences, Senior Clinical Support Specialist at Medtronic (Moscow). During surgery, a colon cancer patient had metastases to the liver removed. On the operating table, the patient was exposed to a tumor in the liver using radiofrequency ablation.

As Vadim Vishnevsky said, radiofrequency ablation is a fairly popular method of treatment used in oncology. Ablation from Latin translates as removal, but when using this device, which was brought to an introductory master class in Yakutsk, the tumor is not removed, the doctor explained. With the help of specific needle instruments, the current is introduced into the tumor focus. In this case, the tissues affected by the disease are heated and burned out. The resulting dead tissue (coagulate) is then organized into a scar. The intervention is performed through surgical wounds, laparoscopically or through the skin.

There are patients who are assigned to traditional surgeries, and some may be refused for various reasons. They are prescribed chemotherapy, radiation and other treatments. A number of such palliative treatments include radiofrequency ablation. It does not interfere with the use of any other type of therapy. The RF ablation method allows pointwise, without harm to healthy tissues, to remove the affected areas and thereby helps to prolong the life of that part of the cancer patients to whom other methods are contraindicated, - concluded Vadim Vishnevsky.

Radio frequency ablation

Radiofrequency ablation is a treatment method belonging to the category of interstitial thermotherapy. It is distinguished from other methods by good tolerance, a small number of complications, good survival of patients who are not shown radical surgical treatment. It is used in tumors of the liver, lungs, kidneys, mammary glands, bones, adrenal glands, thyroid gland, etc. Provides rapid treatment of tumors up to 5-7 cm in diameter.

Device

The RF ablation apparatus is non-stationary, no large spaces are needed to install it, it is easy to install and control. Which is also important, does not require special training of surgeons.

Cool tip-E - a device for the radiofrequency treatment of cancer patients

We have the opportunity to see in use an apparatus that is designed to remove metastases in the liver. I will immediately clarify that this is only a master class from a company that supplies such medical equipment. We don't have it yet. Of course, the presence of such a device would expand our capabilities in the treatment of cancer patients, including those patients who are contraindicated in radical surgery. Also, in general, to increase the survival rate of patients, since with radiofrequency exposure there is good tolerance and fewer complications, "said Tatyana Zharnikova, head of the surgical department of the Republican Oncological Dispensary.

According to doctors, it is quite possible that by 2019 its own RF apparatus will appear in the Republican Oncology Dispensary, and it will already be possible to carry out high-tech radio-frequency operations.

Notes