PATIENT SAFETY IN LAPAROSCOPIC TREATMENT FOR OBSTRUCTIVE LEFT COLON CANCER

Abstract

Colorectal cancer is one of the most common oncological diseases worldwide. In 2018 there were 1.8 new cases registered. In Bulgaria, the cancer of the colon occupies second place for both genders. The clinical picture of the left colon cancer is very diverse. Obturation is one of the most often met forms. Nearly 1/3 of all left colon cancers manifests with some kind of ileus. This is the most common reason for emergency surgery alongside bleeding and perforation.
Purpose of our study is to examine the safety and feasibility of mini-invasive methods in the treatment of the obstructive left colon cancer.
In the present topic we examined the period from January 2015 to December 2020, for all the patients cured in UMHAT ?Eurohospital Plovdiv? for left colon cancer with obstruction. We analyzed the received results by several criteria: operation time, hospital stay length, complications and cases of death. For the mentioned period we operated 125 patients and for 73 of them we used laparoscopic approach. We had 8 conversions.
We think that minimally invasive techniques have their place in the treatment of the obstructive form of the left colon cancer. Applied by experienced teams and in well selected patients, the laparoscopic surgery appear to be fully safe and viable method of choice