Multidisciplinary Approach in the Treatment of Elderly and Senile Patients with Complications of Colon Cancer

Abstract

The article presents the results of the treatment of elderly and senile patients with complications of colon cancer, in the perioperative care of which a multidisciplinary approach is used. The peculiarity of patients of older age groups is caused by polymorbidity, the phenomenon of mutual burdening. This requires the use of a non-standard approach in the treatment of complicated colon cancer. A comparative analysis of the results of the treatment of 289 elderly and senile patients with complicated colon cancer with a traditional method and using a multidisciplinary approach is conducted. The patients are distributed into two groups (main and control). In addition to introducing the principles of a multidisciplinary approach, additional diagnostic methods for more specific determination of the type, severity of complications and functional operability are used in the main group. Taking into account the implementation of a multidisciplinary approach, the operations for patients of the main group are performed using endovideosurgical technologies. A more favorable course of the postoperative period with a decrease in post-surgical complications (from 44.9 to 27.8%) and mortality (from 8.9 to 5.3%) is noted in the group of patients, in which a multidisciplinary approach and modern methods of diagnostics and treatment are used.