Features a combined surgical treatment in preserving the quality of life in patients with invasive colorectal cancer

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Abstract

Background. The aim of the work was to study the effect of combined surgical treatment of locally advanced rectal cancer (RC) with the invasion of the organs of the female reproductive system on the quality of life of patients.

Materials and methods. Presents the diagnosis and treatment of 134 patients with the RC in age from 21 to 70 years, with the invasion of the organs of the female reproductive system. All patients carried the standard clinical and laboratory tests.

Results. Half of the patients (50.7 % of cases) T4N1M0 stage of the disease has been diagnosed. In 75 (56.0 %) patients with tumor spread into the vagina, and in 16 (11.9 %) patients – just a few of the reproductive system. In the study group of 64 patients with the RC, along with surgery on the rectum, combined organ-performed surgery reproductive organs. In the control group all 70 patients was performed hysterectomy with appendages.

Conclusions. Quality of life according to the questionnaire MENQOL, was significantly higher in patients with organ-treatment, which showed a decrease in vasomotor and psychological symptoms, as well as smoothing of irregularities in the physical and sexual spheres. Studies have show the validity of the widespread introduction in the oncological practice combined simultaneous operations that preserve the reproductive organs in women with invasive RC, which is especially important for women of reproductive age.

About the authors

S. B. Abduzhapparov

Republican Oncological Centre of Science at the Ministry of Health of Republic Uzbekistan

Author for correspondence.
Email: sbab@inbox.ru
383 Farobi St., Tashkent, 100179 Uzbekistan

Sh. Ya. Matniyozova

Republican Oncological Centre of Science at the Ministry of Health of Republic Uzbekistan

Email: fake@neicon.ru
383 Farobi St., Tashkent, 100179 Uzbekistan

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