Predictive Factors in the Choice of Surgical Treatment for Colorectal Cancer With Laparoscopic or "Open" Access

Topuzov, Rustem; Manikhas, G.; Topuzov, Eskender; Ханевич, М. Д.; Abdulaev, Magomed A.; Yerokhina, Yelena; Kislitsyna, Olga; Fridman, Monik

doi:10.37469/0507-3758-2017-63-3-470-474

Problems in oncology

2017

DOI: 10.37469/0507-3758-2017-63-3-470-474

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Predictive Factors in the Choice of Surgical Treatment for Colorectal Cancer With Laparoscopic or "Open" Access

Rustem Topuzov¹,

G. Manikhas²,

Eskender Topuzov³

et al.

Abstract: There are presented results of surgical treatment of 347 patients with colorectal cancer. Based on the retrospective analysis a comparative study of results of surgical treatment for colorectal cancer using laparoscopic technologies and “open” access was carried out. Predictive factors that correlate with the risk of postoperative complications with laparoscopic and “open” access at the surgical stage of treatment for colorectal cancer were determined.

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Cited by 2 publications

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Influence of comorbide pathology on the efficiency of laparoscopic operations in surgical treatment of patients with metastatic colorectal cancer

Kolesnikov¹,

Бурцев²

2018

Med. vestn. Ûga Ross.

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Objective:to determine the eﬀect of the initial comorbid burden in patients with metastatic colorectal cancer (CRC) and resectable liver metastases on the development of postoperative complications, depending on the use of laparoscopic or standard open operations.Materials and Methods:the study included 311 patients with verifed metastatic CRC T3-4N1-2M1 and resectable metastases in the liver. Depending on the organization of the surgical treatment, the patients were divided into two groups: the main group (n=161) performed laparoscopic surgical interventions and a control group (n=150) of patients with the same pathology who underwent traditional open operations. Te comorbidity was assessed by the Charlins comorbidity index, the risk of cardiovascular complications according to Goldman, the adjusted Lee index. Te eﬀect of comorbidity on postoperative complications was studied by the method of constructing conjugacy tables.Results:in patients with metastatic RTC in class IV of the risk of cardiovascular complications according to Goldman and high cardiovascular risk in the Lee index, open surgical interventions had an advantage over laparoscopic surgery because of the risk of life-threatening cardiopulmonary pathology. In the I-III class of the risk of cardiovascular complications according to Goldman and low, as well as intermediate cardiovascular risk in Lee, the laparoscopic operations were not accompanied by an increased risk of postoperative cardiovascular complications and were accompanied, in addition to the traditional advantages of minor trauma, by reducing the complications associated with removal oncological drug, as well as infectious wound complications in the place of surgical intervention. Conclusion: when deciding whether to perform laparoscopic interventions in patients with metastatic CRC and resectable metastases in the liver, it is necessary to assess the comorbid load on the Goldman and Lee index before the operation.

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Influence of comorbide pathology on the efficiency of laparoscopic operations in surgical treatment of patients with metastatic colorectal cancer

Kolesnikov¹,

Бурцев²

2018

Med. vestn. Ûga Ross.

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Manual intracorporeal end-to-end invagination ileotransverse anastomosis, own experience

et al. 2021

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Aim: to evaluate the results of original manual intracorporeal end-to-end invagination ileotransverse anastomosis after laparoscopic right hemicolectomy.Patients and methods: twenty-two patients with right colon cancer were included in the study: 17 females and 5 males aged 53.1±3.4 years. They underwent laparoscopic right hemicolectomy with the standard D2 lymphadenectomy and intracorporeal ileotransverse anastomosis by the original technique. Follow-up period after surgery was 3 months.Results: no conversions to open surgery occurred. The operation time was 120.0±12.5 minutes, the median blood loss was 87.0±5.0 ml. Twenty (90.9%) patients are still under follow-up. The hospital stay was 11.4±2.6 days. There were no intraoperative complications. There were no cases of anastomotic leakage. No mortality occurred. At the time of the follow-up, all the patients are alive. Two (9.1%) patients have dropped out of control.Conclusion: the experience of the first 22 laparoscopic right hemicolectomies with intracorporeal laparoscopic end-to-end invagination ileotransverse anastomosis makes it possible to recommend this reliably safe method.

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Predictive Factors in the Choice of Surgical Treatment for Colorectal Cancer With Laparoscopic or "Open" Access

Cited by 2 publications

References 6 publications

Influence of comorbide pathology on the efficiency of laparoscopic operations in surgical treatment of patients with metastatic colorectal cancer

Influence of comorbide pathology on the efficiency of laparoscopic operations in surgical treatment of patients with metastatic colorectal cancer

Manual intracorporeal end-to-end invagination ileotransverse anastomosis, own experience

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