Introduction. Laparoscopic technology for colorectal cancer allows the surgeon to use new, more sophisticated methods of operation. At the same time one often have to prove the need for laparoscopic technologies or their combination with conventional surgical techniques in a single transaction.
Objective. To share our experience with laparoscopic techniques for surgical treatment of CRC.
Materials and methods. Since 2011 30 patients with tumors of colon and rectum have been operated by laparoscopic technology. Among them women — 11, men — 19. Age of cancer patients ranged from 32 to 68 and averaged (59.0±8.7) years (p<0.05), dominated in elderly people: 14 patients were over 60 years.
Results. We have used these techniques of laparoscopic surgery: radical: right side hemocolectomy — 7 patients (23.3%) by high performance right-perianal incision, followed by withdrawal of the drug mobilized and further resection of the right half of colon tumor formation and ileotransversoanastomosis bifariamous hand stitch indulgent vicryl threads.
Discussion. For adequate laparoscopic operation on the large colon and rectum cancer (provided technical operability) one must consider compliance with these basic principles. Regardless of stage of disease and the nature of tumor growth it was carried out: a full selection of great vessels with displacement of tissue from lymph nodes in the direction of the drug, tissue above the lymph collectors isolated individual sections for separation of lymphatic vessels and interrupt tract metastasis; necessarily performed lymphadenectomy (aorto-femoral).
Conclusions. Favorable results of laparoscopic operations for colorectal cancer are associated with low traumatic interventions. Laparoscopic colorectal cancer surgery is an alternative to traditional operations and can be made in adequate volume. Laparoscopic intervention in colorectal cancer patients reduce length of stay in hospital and in the manual mode of formation of anastomosis — are more economically feasible.