COMPARATIVE ANALYSIS OF THE RESULTS OF OPERATIVE TREATMENT OF PATIENTS WITH COLORECTAL CANCER WITH LAPAROSCOPIC AND LAPAROTOMY ACCESS

Todurov I. M., Plehutsa O. I., Trots A. V., Kyryk V. O., Hrynevych A. A.

COMPARATIVE ANALYSIS OF THE RESULTS OF OPERATIVE TREATMENT OF PATIENTS WITH COLORECTAL CANCER WITH LAPAROSCOPIC AND LAPAROTOMY ACCESS


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About the author:

Todurov I. M., Plehutsa O. I., Trots A. V., Kyryk V. O., Hrynevych A. A.

Heading:

METHODS AND METHODOLOGIES

Type of article:

Scientific article

Annotation:

Colorectal cancer (CRC) is one of the most common malignant neoplasms in the world and one of the global problems of today. Surgical treatment is an important component in the fight against this disease. In this article, we present a detailed comparative analysis of the results of laparoscopic and open surgical treatment of patients with CRC. The aim is comparative analysis of the results of surgical treatment of patients with CRC by laparoscopic and open access. A retrospective analysis was conducted in 106 patients. Outcome measures included intraoperative blood loss, operative time, pain score, postoperative bed rest days, rate of early postoperative complications in the first 30 days postoperatively, and need for reintervention. The postoperative time of restoration of enteral nutrition was shorter in group 1 (5.35±1.9) and 21 hours (21.3±5.7), respectively, and 7 hours (6.9±2.6) and 28 hours (28 .7±7.8) in group 2, respectively (p<0.001). Postoperative activation of peristalsis and first defecation occurred at 2.7±0.6 days in group 1 compared to 3.3±0.8 days in group 2 (p<0.001). The results of this study confirm the advantages of the laparoscopic approach compared to open surgery in patients with colon cancer. These results are important for the practice of surgical oncology and should contribute to improving the results of treatment of this disease.

Tags:

colorectal cancer, colorectal surgery, laparoscopic surgery, minimally invasive surgery

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Publication of the article:

«Bulletin of problems biology and medicine», 2023 Issue 4, 171, 302-306 pages, index UDC 616.34-006.6-089.12-089.168

DOI:

10.29254/2077-4214-2023-4-171-302-306

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