ABSTRACT
AIM: To evaluate the role of laparoscopic surgery for colorectal cancer in advanced age patients. MATERIAL AND METHODS: 290 patients with colorectal cancer were enrolled including 121 patients with rectal cancer and 169 patients with colon cancer. Main group consisted of 171 patients over 60 years old, control group - 119 patients younger 60 years old. RESULTS: Radical advanced procedures on different parts of colon including laparoscopic approach were performed in the majority of advanced age patients. Outcomes were considered as good, we did not notice serious complications (5.4% after rectal surgery, 3.9% after colon surgery). Differences were not significant compared with younger patients including laparoscopic interventions for emergency indications. Nevertheless, surgical treatment of advanced age patients with colorectal cancer makes special demands for equipping of the clinic and physicians' qualification. CONCLUSION: Advanced age is not a serious limitation in choice of laparoscopic access in both elective and emergency surgery in patients with colorectal cancer.
Subject(s)
Colectomy/adverse effects , Colorectal Neoplasms/surgery , Laparoscopy/adverse effects , Minimally Invasive Surgical Procedures/adverse effects , Postoperative Complications , Age Factors , Aged , Colectomy/methods , Colorectal Neoplasms/epidemiology , Female , Humans , Laparoscopy/methods , Male , Middle Aged , Minimally Invasive Surgical Procedures/methods , Outcome and Process Assessment, Health Care , Postoperative Complications/diagnosis , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Risk Adjustment/methods , Russia/epidemiologyABSTRACT
AIM: To assess advisability of video-assisted surgery in advanced age patients with colorectal cancer. MATERIAL AND METHODS: The study involved 44 patients with large intestine tumors. There were 30 patients with colon cancer aged 78.0±1.1 years and 14 patients with rectal neoplasms aged 75.0±1.8 years. All of them underwent elective video-assisted resections without conversion of the approach. RESULTS: Good and satisfactory results were achieved in 95.5% of patients. Postoperative complications occurred in 5 (11.4%) cases followed by redo surgery in 2 (4.5%) patients. Mortality was absent. CONCLUSION: Video-assisted procedures are preferable in elective surgery of colorectal cancer in advanced age patients regardless stage and localization of the process.
Subject(s)
Colectomy , Colon , Colorectal Neoplasms , Postoperative Complications , Rectum , Video-Assisted Surgery , Age Factors , Aged , Colectomy/adverse effects , Colectomy/methods , Colon/pathology , Colon/surgery , Colorectal Neoplasms/pathology , Colorectal Neoplasms/surgery , Elective Surgical Procedures/adverse effects , Elective Surgical Procedures/methods , Female , Humans , Male , Neoplasm Staging , Outcome and Process Assessment, Health Care , Postoperative Complications/diagnosis , Postoperative Complications/prevention & control , Rectum/pathology , Rectum/surgery , Tumor Burden , Video-Assisted Surgery/adverse effects , Video-Assisted Surgery/methodsSubject(s)
Colon, Ascending/pathology , Colonic Neoplasms , Endoscopy, Gastrointestinal/methods , Gastrointestinal Hemorrhage/surgery , Neoplasms, Multiple Primary , Video-Assisted Surgery/methods , Aged, 80 and over , Anemia, Iron-Deficiency/complications , Anemia, Iron-Deficiency/diagnosis , Anemia, Iron-Deficiency/therapy , Colonic Neoplasms/complications , Colonic Neoplasms/pathology , Colonic Neoplasms/physiopathology , Colonic Neoplasms/surgery , Female , Gastrointestinal Hemorrhage/complications , Gastrointestinal Hemorrhage/diagnosis , Humans , Myocardial Ischemia/complications , Neoplasm Staging , Neoplasms, Multiple Primary/complications , Neoplasms, Multiple Primary/pathology , Neoplasms, Multiple Primary/physiopathology , Neoplasms, Multiple Primary/surgery , Risk Adjustment , Treatment OutcomeABSTRACT
AIM: To assess the role of endoscopic technologies in treatment of complicated forms of colorectal cancer. MATERIAL AND METHODS: Our trial included patients after endoscopic intervention (n=18) and open surgery (n=11). RESULTS: Mean time of surgery in this group was 158.8±10.7 minutes. In elective surgery group this value was 161.3 minutes (p>0.05). Mean blood loss was not great (near 122.5±17.9 ml). Overall and postoperative hospital-stay was 23.1±2.4 and 8.6±0.5 days, respectively. There were no intraoperative and postoperative complications. CONCLUSION: Endoscopic interventions may be performed for colon cancer for emergency indications including patients with severe complications.
Subject(s)
Colectomy , Colonic Neoplasms/surgery , Endoscopy, Gastrointestinal , Laparoscopy , Postoperative Complications , Video-Assisted Surgery , Adult , Aged , Azerbaijan/epidemiology , Colectomy/adverse effects , Colectomy/instrumentation , Colectomy/methods , Colonic Neoplasms/pathology , Emergency Treatment/methods , Emergency Treatment/statistics & numerical data , Endoscopy, Gastrointestinal/adverse effects , Endoscopy, Gastrointestinal/methods , Female , Humans , Laparoscopy/adverse effects , Laparoscopy/methods , Length of Stay/statistics & numerical data , Male , Middle Aged , Neoplasm Staging , Outcome and Process Assessment, Health Care , Postoperative Complications/diagnosis , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Retrospective Studies , Video-Assisted Surgery/adverse effects , Video-Assisted Surgery/methodsABSTRACT
AIM: To evaluate endoscopic technologies in treatment of patients with colorectal cancer and severe comorbidities. MATERIAL AND METHODS: Two groups of patients after endoscopic (group 1, n = 58) and open (group 2, n = 40) surgery were assessed. RESULTS: Comorbidities were observed in 90.7% patients in group 1 and 83.3% patients in group 2 (p > 0.05). Mean comorbidity index was 6.9±0.3 (2-14) and 7.1±0.7 (2-18) in both groups respectively. Comorbidities ASA grade 3-4 were observed in 88.2% patients of group 1 had and in 71.4% patients of group 2 (p > 0.05). One patient of group 1 with intra-abdominal bleeding required conversion of surgical approach. In another case the conversion was due to technical difficulties during intestinal resection. Postoperative complications were noted in 2 patients (3.4%). There were no intraoperative complications in group 2. Postoperative complications were observed in two cases (5.0%). CONCLUSION: Severe comorbidities do not impose serious restrictions on the choice of endoscopic approach in colorectal cancer patients.
Subject(s)
Adenocarcinoma , Colorectal Neoplasms , Intraoperative Complications/prevention & control , Laparoscopy , Postoperative Complications , Adenocarcinoma/epidemiology , Adenocarcinoma/pathology , Adenocarcinoma/surgery , Aged , Azerbaijan , Colectomy , Colorectal Neoplasms/epidemiology , Colorectal Neoplasms/pathology , Colorectal Neoplasms/surgery , Female , Humans , Laparoscopy/adverse effects , Laparoscopy/instrumentation , Laparoscopy/methods , Male , Multimorbidity , Outcome and Process Assessment, Health Care , Patient Selection , Postoperative Complications/diagnosis , Postoperative Complications/etiology , Russia , Video-Assisted Surgery/methodsABSTRACT
AIM: To assess laparoscopic surgery in treatment of colon cancer patients. MATERIAL AND METHODS: The results of laparoscopic treatment of patients with colorectal cancer are presented in the article. It was estimated the influence of various clinical parameters including age, gender, comorbidities, tumor localization and stage and complications on laparoscopic management of these patients. CONCLUSION: It was revealed that efficiency of laparoscopic surgery in patients with colon cancer is affected by tumor stage and presence of complications.