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№2' 2018

SURGERY

International Medical Journal, Vol. 24., Iss. 2, 2018, P. 16−19.


THE USE OF MINIMALLY INVASIVE OPERATIONS IN TREATMENT OF PATIENTS WITH COLORECTAL CANCER COMPLICATIONS WITH INTESTINAL OBSTRUCTION


Valerii Volodymyrovych Boiko, Viktor Nikolaevich Lykhman, Shevchenko A. M., Andrei Alekseevich Merkulov, Osmanov R. R.

V. I. Zaitsev Institute of General and Urgent Surgery, Kharkiv
Kharkiv National Medical University, Ukraine

In recent years, the problem of treatment of complicated colorectal cancer has become relevant as the incidence of this disease is steadily increasing and reaching the first place among all malignant tumors of the gastrointestinal tract. Together with the increase in the incidence of colorectal cancer, the frequency of its complicated forms increases making up 60−89 %. These include intestinal obstruction, perforation, intestinal bleeding, perifocal and intratumor inflammation with abscess formation. The most common complication of complicated colorectal cancer is intestinal obstruction, which occurs in 10−85 % of all patients. The literature sources on the use of minimally invasive surgical interventions in patients with complicated colorectal cancer were analyzed. The questions of the choice of the method of surgical treatment are discussed. In order to determine and compare the effectiveness of different minimally invasive techniques in patients with colorectal cancer complicated by intestinal obstruction, the results of surgical treatment of patients operated by video laparoscopic and laparotomic access were compared. It was proven that video−laparoscopic surgery at complicated colorectal cancer had a number of advantages allowing better results, earlier and social labor rehabilitation of patients in the immediate postoperative period. Laparoscopic technology allows intervention in any division of the colon and rectum. At the same time, it is possible to ensure full observance of cancer protocols by volume of resection and lymph nodes. The results showed that the use of video−laparoscopic technique in patients with complicated colorectal cancer contributes to improving the results of their treatment by reducing intraoperative blood loss, more favorable course of the immediate postoperative period, earlier activation and restoration of intestinal motility, less need for narcotic analgesics and intensive care, reduction of frequency of wound and organ complications, reduction of the stay at the intensive care department and hospital stay.

Key words: complicated colorectal cancer, surgical treatment, laparoscopic techniques.


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