Tumour laser recanilization application in complex surgical treatment of obstructing colorectal cancer

Abstract

Authors develop and use in clinical practice a technique laser recanalization of colon tumors, allowing in the conditions of intestinal obstruction to execute early antegrade decompression of digestive tracts with its fast restoration of motive-evacuation functions and early clinical-metabolic compensation (without laparotomy and formations of intestinal fistula). The offered approach allows to carry out preparation of the patient for radical intervention in the limited terms, not writing out it from a hospital, promotes increase of reliability of surgical treatment and efficiency of one-stage restoration of digestive tracts continuity. Early endoscopic decompression of intestines as the first stage of realization of the concept «Fast-Track Recovery», in a combination to the complex program of medicinal correction of infringements of a homeostasis and intraparietal intestinal haemocirculation, allow to eliminate in deadlines morphological-and-functional infringements from resulting departments of intestines and to execute radical surgical treatment of colorectal cancer by principles of planned intervention in the absence of problems with resulting department of intestines and possibility of reliable one-stage restoration of digestive tracts continuity. Key words: laser vaporization, colorectal cancer, tumour recanalization