IMPLEMENTATION OF "FAST TRACK SURGERY" PRINCIPLES INTO URGENT SURGERY OBSTRUCTIVE OBSTRUCTION OF THE COLON OF TUMOR GENESIS

Authors

  • O. Yu. Ioffe O. Bohomolets National Medical University, Kyiv
  • M. M. Stets O. Bohomolets National Medical University, Kyiv
  • V. M. Perepada O. Bohomolets National Medical University, Kyiv
  • O. P. Stetsenko O. Bohomolets National Medical University, Kyiv
  • M. S. Kryvopustov O. Bohomolets National Medical University, Kyiv
  • V. R. Antoniv O. Bohomolets National Medical University, Kyiv

DOI:

https://doi.org/10.11603/2415-8798.2019.2.10112

Keywords:

obstruction of the colon, colorectal cancer, Fast track surgery

Abstract

One of the potential directions for improving the direct results of treatment of patients with obstructive obstruction of blastomatous genesis is the integration of modern achievements of planned colorectal surgery in the form of concepts "Fast track surgery" or ERAS into surgical protocols of emergency care to patients with this pathology.

The aim of the study – to improve the results of surgical treatment of patients with obstructive obstruction of the colon of blastomatous genesis by introducing the principles of "Fast track surgery" in the algorithms of treatment of patients with this pathology.

Materials Methods. The results of treatment of 127 patients with obstructive obstruction of the colon of tumor genes undergoing treatment at the surgical clinic No. 3 for the period of 2009–2018 were analyzed. The patients were subjected to urgent surgical interventions with the attraction of the multimodal program "Fast track surgery".

Results and Discussion. The efficiency of the application of separate elements of the "Fast track surgery" multimodal program in the urgent surgical treatment of the specified pathology in the pre-, intra- and postoperative period is presented and proved. Thus, the use of Ultracision ultrasound scissors (Ethicon) and Liga Sure (Covidien) and EC-300 M1 welding electrodes allowed shortening the operating time intervals from (3.5±0.2) to (1.5±0.4) hours. The average bed day of the recovered patients was (13.4±2.7) days. There were no deaths among the group of patients who had been surgically interrupted in a timely manner. The average bed-day was (8.3±1.8) days, while in the group of patients, who were used during the treatment of laparoscopic technology, the average bed-day was (5.4±1.3) days.

Author Biography

O. Yu. Ioffe, O. Bohomolets National Medical University, Kyiv

Кафедра загальної хірургії №2 (зав. каф. д.мед.н., проф. О.Ю.Іоффе)

 

References

Boiko, V.V., Lykhman, V.M., Shevchenko, A.M., Merkulov, A.O., & Osmanov, R.R. (2018). The use of minimally invasive operations in treatment of patients with colorectal cancer complications with intestinal obstruction, 2, 16-19.

Fedorenko, Z.P., Hulak, L.O., Mykhaylovych, Yu.Y., et al. (2018) Cancer in Ukraine 2016-2017. Bulletin: «National Cancer Registry of Ukraine» No. 19. Kyiv: National Cancer Institute. p. 134. Retrieved from: http://www.ncru.inf.ua/publications/BULL_19/index.htm. [in Ukrainian].

Grubnik, U.I., Netkov, A.D., Krizhanovskyi, V.V., Kravchеnko, A.I., Fomenko, V.A., & Moskovchenko, I.V. (2012). Minimally Invasive Surgery in Patients with Colorectal Tumors Compliucated with Occlusion and Bleeding, Galician Medicinal Herald, 19 (3), 36-37.

Zavhorodnii, A., & Gritsenko, S. (2017). Elements of the fast-track concept in the postoperative treatment of colorectal cancer. Emergency Medicine, 0(6.85), 67-71. doi: 10.22141/2224-0586.6.85.2017.111608. DOI: https://doi.org/10.22141/2224-0586.6.85.2017.111608

Midlenko, V.I., Barinov, D.V., Zaytsev, A.V., Smolkina, А.V., Zaytseva, O.B., Doiko, M.I., & Kazykhanov, R.I. (2013). Perioperatsionnye of complication in surgery of the cancer of thick intestines, 5, 96-100.

Schepotin, I.B., Kolesnik, Е.A., Lukashenko, A.V., Rozumiy, D.O., Mahmudov, D.E., & Naumchuk, G.V. (2012). Pathways of applying a «FAST TRACK SURGERY» multimodal programm in surgical treatment of gastrointestinal malignancies (review), 5 (1), 22-32.

De Ceglie, A., Filiberti, R., Baron, T., Ceppi, M., & Conio, M. (2013). A meta-analysis of endoscopic stenting as bridge to surgery versus emergency surgery for left-sided colorectal cancer obstruction. Critical Reviews In Oncology/Hematology, 88 (2), 387-403. doi: 10.1016/j.critrevonc.2013.06.006. DOI: https://doi.org/10.1016/j.critrevonc.2013.06.006

Dindo, D., Demartines, N., & Clavien, P. (2004). Classification of Surgical Complications. Annals Of Surgery, 240 (2), 205-213. doi: 10.1097/01.sla.0000133083.54934.ae. DOI: https://doi.org/10.1097/01.sla.0000133083.54934.ae

Lohsiriwat, V. (2014). Enhanced recovery after surgeryvsconventional care in emergency colorectal surgery. World Journal Of Gastroenterology, 20 (38), 13950. doi: 10.3748/wjg.v20.i38.13950. DOI: https://doi.org/10.3748/wjg.v20.i38.13950

Shida, D., Tagawa, K., Inada, K., Nasu, K., Seyama, Y., Maeshiro, T. et al. (2017). Modified enhanced recovery after surgery (ERAS) protocols for patients with obstructive colorectal cancer. BMC Surgery, 17 (1). doi: 10.1186/s12893-017-0213-2. DOI: https://doi.org/10.1186/s12893-017-0213-2

Teixeira, F., Akaishi, E., Ushinohama, A., Dutra, T., Netto, S., & Utiyama, E. et al. (2015). Can we respect the principles of oncologic resection in an emergency surgery to treat colon cancer?. World Journal Of Emergency Surgery, 10 (1), 5. doi: 10.1186/1749-7922-10-5. DOI: https://doi.org/10.1186/1749-7922-10-5

Wisely, J., & Barclay, K. (2016). Effects of an Enhanced Recovery After Surgery programme on emergency surgical patients. ANZ Journal Of Surgery, 86 (11), 883-888. doi: 10.1111/ans.13465. DOI: https://doi.org/10.1111/ans.13465

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Published

2019-06-29

How to Cite

Ioffe, O. Y., Stets, M. M., Perepada, V. M., Stetsenko, O. P., Kryvopustov, M. S., & Antoniv, V. R. (2019). IMPLEMENTATION OF "FAST TRACK SURGERY" PRINCIPLES INTO URGENT SURGERY OBSTRUCTIVE OBSTRUCTION OF THE COLON OF TUMOR GENESIS. Bulletin of Scientific Research, (2), 38–41. https://doi.org/10.11603/2415-8798.2019.2.10112

Issue

No. 2 (2019)

Section

SURGERY

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