Novosti
|
This journal is indexed in Scopus |
|---|
Year 2016 Vol. 24 No 2
CASE REPORTS
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 63±10,4 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 patient’s stay in the intensive care unit was 24±11,5 hrs. Duration of operations composed 264±88,8 min. Duration of hospital stay in the postoperative period was 8±5,1days. 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.
- Fleshman J, Sargent DJ, Green E, Anvari M, Stryker SJ, Beart RW, et al. Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial. Ann Surg. 2007;246(4):655-62. doi: 10.1097/SLA.0b013e318155a762.
- Bilimoria KY, Bentrem DJ, Nelson H, Stryker SJ, Stewart AK, Soper NJ, et al. Use and outcomes of laparoscopic-assisted colectomy for cancer in the United States. Arch Surg. 2008 Sep;143(9):832-39; discussion 839-40. doi: 10.1001/archsurg.143.9.832.
- Buunen M, Veldkamp R, Hop WC, Kuhry E, Jeekel J, Haglind E, et al. Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial. Lancet Oncol. 2009 Jan;10(1):44-52. doi: 10.1016/S1470-2045(08)70310-3.
- Edwards BK, Ward E, Kohler BA, Eheman C, Zauber AG, Anderson RN, et al. Annual report to the nation on the status of cancer, 1975-2006, featuring colorectal cancer trends and impact of interventions (risk factors, screening, and treatment) to reduce future rates. Cancer. 2010 Feb 1;116(3):544-73. doi: 10.1002/cncr.24760.
- Jayne DG, Guillou PJ, Thorpe H, Quirke P, Copeland J, Smith AM, et al. Randomized trial of laparoscopic-assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC Trial Group. J Clin Oncol. 2007 Jul 20;25(21):3061-68.
- Bagnall NM, Faiz O. Laparoscopic colectomy: the view from the United kingdom. J Gastrointest Surg. 2013 Aug;17(8):1544. doi: 10.1007/s11605-013-2200-y.
- Lacy AM, Delgado S, Castells A, Prins HA, Arroyo V, Ibarzabal A, et al. The long-term results of a randomized clinical trial of laparoscopy-assisted versus open surgery for colon cancer. Ann Surg. 2008 Jul;248(1):1-7. doi: 10.1097/SLA.0b013e31816a9d65.
- Bagnall NM, Faiz O. Laparoscopic colectomy: the view from the United kingdom. J Gastrointest Surg. 2013 Aug;17(8):1544. doi: 10.1007/s11605-013-2200-y.
- Awad ZT. Laparoscopic subtotal colectomy with transrectal extraction of the colon and ileorectal anastomosis. Surg Endosc. 2012 Mar;26(3):869-71. doi: 10.1007/s00464-011-1926-24.
- Lezoche E, Feliciotti F, Paganini AM, Guerrieri M, De Sanctis A, Minervini S, et al. Laparoscopic vs open hemicolectomy for colon cancer. Surg Endosc. 2002 Apr;16(4):596-602.
- Metzger P. The laparoscopic technique of intersphincteric rectum resection. In: Schiessel R, Metzger P, eds. Intersphincteric resection for low rectal tumors. Springer-Verlag Wien; 2012;(Ch 8). p. 85-97.
- Rullier E, Denost Q, Laurent C. A concept of sphincter salvage in low rectal cancer. In: Schiessel R, Metzger P, eds. Intersphincteric resection for low rectal tumors. Springer-Verlag Wien; 2012;(Ch 10). p. 111-19.
- Tomimaru Y, Ide Y, Murata K. Outcome of laparoscopic surgery for colon cancer in elderly patients. Asian J Endosc Surg. 2011 Feb;4(1):1-6. doi: 10.1111/j.1758-5910.2010.00061.x.
- Ding J, Liao GQ, Xia Y, Zhang ZM, Liu S, Yan ZS. Laparoscopic versus open right hemicolectomy for colon cancer: a meta-analysis. J Laparoendosc Adv Surg Tech A. 2013 Jan;23(1):8-16. doi: 10.1089/lap.2012.0274.
- Buunen M, Veldkamp R, Hop WCJ, Kuhry E, Jeekel J, Haglind E, et al. Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial. Lancet Oncol. 2009 Jan;10(1):44-52. doi: 10.1016/S1470-2045(08)70310-3.
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
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".
Article in the .pdf format
