Novosti
Khirurgii
This journal is
indexed in Scopus









Year 2016 Vol. 24 No 2

CASE REPORTS

DOI: http://dx.doi.org/10.18484/2305-0047.2016.2.197   |  

Y.V. SLABADZIN, S.A. SIDOROV

LAPAROSCOPIC COLON AND RECTUM SURGERY

SE "The Republican Clinical Medical Centre of the Administration of the President of the Republic of Belarus", Minsk,
The Republic of Belarus

Objectives. To analyze the first experience of laparoscopic colon and rectal surgery.
Methods. The laparoscopic surgeries (n=16) of the colon and rectum were performed. There were 6 men and 10 women out of 16 operated patients.
The age of patients was 6310,4 yrs. The reason for interventions were as follow: 8 cases of colorectal cancer, 1 diverticulitis of the sigmoid colon, four dysplastic villous polyps (grade 3), 1 large lipoma, 1 carcinoid, 1 functional sigmoidostomy. Six sigmoid resections, one lower anterior resection of the rectum, three right-sided and one left-sided hemicolectomy, two resections of the ileocecal angle, two total mesorectumectomies, one closure of sigmoidostomy had been carried out.
Results. Postoperatively patients activation began within 12 hours after surgery. Duration of the patients stay in the intensive care unit was 2411,5 hrs. Duration of operations composed 26488,8 min. Duration of hospital stay in the postoperative period was 85,1days. One patient was underwent to relaparotomy due to peritonitis on the 7th postoperative day caused the formed defect of the ileum wall in the deserosation region at adhesiolysis. All patients were discharged with satisfactory results.
Conclusion. The first experience shows that the treatment of surgical pathology of the colon and rectum laparoscopically is justified and highly effective. In performing surgical interventions due to the colorectal cancer, a complete fulfillment of oncological protocols concerning volume of resection and lymphadenectomy is complied. The introduction of laparoscopic surgery for the management of the colon and rectum cancer reduces the amount of intraoperative blood loss, reduces the length of stay of patients and their rehabilitation, and minimizes the development of postoperative complications.

Keywords: laparoscopic surgeries, colon, rectum, mesorectumectomy, mesocolectomy, colorectal cancer, hemicolectomy, interphincter resection, coloanal anastomosis
p. 197-202 of the original issue
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Address for correspondence:
220035, the Republic of Belarus,
Minsk, ul. Krasnoarmeyskaya, d. 10, GU "Respublikanskiy klinicheskiy
meditsinskiy tsentr"
Upravleniya delami Prezidenta Respubliki Belarus,
tel. office: 375 017 226-05-36,
e-mail: yurydoc75@gmail.com,
Slobodin Yuriy Valerevich
Information about the authors:
Slobodin Y.V. PhD, a head of the surgical in-patient department of SE "The Republican Clinical Medical Centre of the Administration of the President of the Republic of Belarus".
Sidorov S.A. A surgeon of the surgical in-patient department of SE "The Republican Clinical Medical Centre of the Administration of the President of the Republic of Belarus".
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