REASONS OF COMPLICATIONS AND CONVERSIONS IN LAPAROSCOPICCOLONRESECTION

Methods. In work were taken results of treatment of 48 patients suffering from colon cancer. 39 patients had tumor in sigmoid colon, 6.5% in ascendant part, 2.1% in transversal colon, 6.5% in spleen angle, 13.3% in descendence colon and 36.9 in sigmoid colon. In 54% patients, tumor sprout all layer of colon (T3), in 32.6% tumor invasion was in muscular layer (T2) and in 15.2% patients tumor was locally spread (T4).

Tumor invasion in small intestine was in 1 case and in the front side of abdomen wall in 6 cases.

Results. Mobilizing of damaging segments of colon starts from liberation, clipping and cutting it feeding and main line vessels’ using monopolar and bipolar electric tools. Out putting of the segment with tumor and forming anastomosis was made extracorporally. Duration of operations was from 1.5 to 3.5 hours. Conversions in 10.4%, total amount of complications was 12.5%, postoperative mortality was 2%. Analysis of the treatment results revealed that to prevent conversions in patients with colon cancer, size of the tumor, grade of its local wide spreading and presence of complication should be considered. Allocation of the sigmoid colon segment with tumor by laparoscopic method comply with oncology principles of radicalism and ablastic.

Conclusions. Using of electric tools and minimal trauma of tissues reduce amount of purulent complications.