Kurbanov F S, Khalilov Z B, Azimov R Kh, Kalinichenko A Yu, Chinnikov M A, Panteleeva I S
Department of Hospital Surgery with the course of pediatric surgery, Russian Peoples' Friendship University, Central Clinical Hospital of RAS, Moscow, Russia.
Central Hospital of Baku, Azerbaijan Republic.
Khirurgiia (Mosk). 2017(9):54-58. doi: 10.17116/hirurgia2017954-58.
To evaluate endoscopic technologies in treatment of patients with colorectal cancer and severe comorbidities.
Two groups of patients after endoscopic (group 1, n = 58) and open (group 2, n = 40) surgery were assessed.
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%).
Severe comorbidities do not impose serious restrictions on the choice of endoscopic approach in colorectal cancer patients.
评估内镜技术在治疗结直肠癌合并严重共病患者中的应用。
对两组患者进行评估，一组为接受内镜手术的患者（第1组，n = 58），另一组为接受开放手术的患者（第2组，n = 40）。
第1组90.7%的患者和第2组83.3%的患者存在共病（p > 0.05）。两组的平均共病指数分别为6.9±0.3（2 - 14）和7.1±0.7（2 - 18）。第1组88.2%的患者和第2组71.4%的患者共病ASA分级为3 - 4级（p > 0.05）。第1组有1例患者因腹腔内出血需要转换手术方式。在另一例中，转换是由于肠切除术中的技术困难。第1组有2例患者（3.4%）出现术后并发症。第2组无术中并发症。有2例（5.0%）出现术后并发症。
严重共病对结直肠癌患者内镜手术方式的选择没有造成严重限制。
