Complex treatment of colorectal cancer complicated with intestinal obstruction

Abstract

In surgery, as well as oncology, the trend of complex treatment based on the concept of “rapid (enchanced) recovery”, the so called «Fast-Track Recovery» or «Fast-Track Surgery», is coming into force. It is founded on the modern high-technology approaches application in the treatment of obstructing colorectal cancer complicated with intestinal obstruction including the effective use of endoscopic stenting at the first stage (self-expanding silicone covered nitinol stent frame expanding bowel lumen in the tumour stenosis zone (CHOOSTENT M.I.Tech, South Korea [CY]), at the second stage of radical operation performance within a single hospitalization. Early endoscopic intestinal decompression as the first stage of “Fast-Track Recovery” concept realization in combination with the program of complex drug correction of homeostasis and intraparietal intestinal hemocirculation disturbances enable to eliminate morphofunctional disturbances of adducting intestinal portions on short notice and perform radical surgical treatment of colorectal cancer on the principle of routine intervention in the absence of problems with adducting intestinal portion and the possibility of reliable single-stage restoration of digestive tract continuity. The given approach allows to rule out intermediate stages, to decrease the total duration of treatment and rehabilitation of patients, to obtain high quality of patient’s life in the intermediate and distant future. This trend in the practical health service is only coming into force, showing the positive aspects and prospects of usage, which enable to improve qualitative and quantitative indices of treatment of various diseases substantially. Key words: stenting, laser vaporization, colorectal cancer, tumour recanalization