Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press8410.17650/2220-3478-2014-0-4-16-21ORIGINAL REPORTSОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯEXPERIENCE IN INTRODUCING LAPAROSCOPIC TECHNOLOGIES INTO COLORECTAL CANCER SURGERYВНЕДРЕНИЕ ЛАПАРОСКОПИЧЕСКИХ ТЕХНОЛОГИЙ В ХИРУРГИЮ КОЛОРЕКТАЛЬНОГО РАКАZemlyanoyV. P.ЗемлянойВ. П.
Russian Federation
Odindra@mail.ruChernikovskyI. L.ЧерниковскийИ. Л.
Russian Federation
Odindra@mail.ruIvanovA. S.ИвановА. С.
Russian Federation
Odindra@mail.ruSiguaB. V.СигуаБ. В.
Russian Federation
Odindra@mail.ruRylloA. G.РыллоА. Г.
Russian Federation
Odindra@mail.ruI.I. Mechnikov North-Western State Medical University, Saint PetersburgГБОУ ВПО «Северо-Западный государственный медицинский университет им. И.И. Мечникова», Санкт-ПетербугI.I. Mechnikov North-Western State Medical University, Saint Petersburg Saint Petersburg Clinical Research-and-Practical Center of Specialized Medical (Cancer) CaresГБОУ ВПО «Северо-Западный государственный медицинский университет им. И.И. Мечникова», Санкт-Петербуг Санкт-Петербургский клинический научно-практический центр специализированных видов медицинской помощи (онкологический)Saint Petersburg Clinical Research-and-Practical Center of Specialized Medical (Cancer) CaresСанкт-Петербургский клинический научно-практический центр специализированных видов медицинской помощи (онкологический)281220143416210103201501032015Copyright ©; 2014, ABV-pressCopyright ©; 2014, АБВ-пресс2014ABV-pressАБВ-прессhttps://onco-surgery.info/jour/about/editorialPolicieshttps://onco-surgery.info/jour/article/view/84

Background. Although minimally invasive surgery has undoubted advantages, the proportion of endovideosurgical interventions in the treatment of patients with colorectal cancer (CRC) remains insignificant and indications for their application have not been defined until the present time. The authors describe their experience with laparoscopic CRC surgery.

Objective and methods. 132 endovideosurgical interventions and 143 open surgeries for рТ2–4N0–2М0–1а CRC were performed for 25 months of surgical practice. The above patient groups were assessed for body index, patient age, comorbidity severity (CR-ROSSUM scale), T index, number of lymph nodes removed, blood loss, operation time, and complication rate and pattern. The learning curve was studied from the duration of each type of laparoscopic surgery.

Results. No significant differences were found between the groups in the ratio of surgery types, the number of lymph nodes removed, and the rate of complications. More significant blood loss and a larger number of postoperative wound infections were seen in the patients who had been operated on through open access with the significantly shorter duration of open surgery. All the types of laparoscopic surgery for CRC are characterized by a marked learning curve, except for those for rectal resection with total mesorectumectomy.

Conclusion. Laparoscopic surgery for CRC compares well with routine surgery. The principles of laparoscopic resections should be employed in CRC and open surgery. It is possible and necessary to more extensively use endovideosurgical techniques.

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