Multivisсeral resection in the surgical treatment of locally advanced colorectal cancer
Designated modern aspects of colorectal cancer (CRC). It is noted that the structure of adult deaths CRC Ukraine ranks 2-nd, accounting for 12,6% of men and 15,3% women. Emphasized that in the world by 2035 the incidence of CRC will increase to million in men to 1.08 million in women. Indicated that standard amounts surgery for CRC developed for monoorgannic operations, and multiorgan for them there is little, due to a high degree of individualization and communication feature of primary colon tumors from surrounding organs and tissues. Often when multivisceral resection in locally advanced (LA) CRC resection to be organs of the gastrointestinal tract, which is 44,4%, of which 21,2 - 31,6% - small intestine, 1,1 - 7,4% - colon, 7,4% - liver, 3,7 - 6,7% - duodenum, 4,4% - stomach, 3,3 3,7% - the pancreas; 22,2% - of the urinary system: 14,8 - 27,0% - bladder, 7,4 - 15,5% - ureters, 1,9% - the kidneys; of the female reproductive system - 24,1%: ovarian - 16,7 - 26,6%, the uterus - 5,6 - 18,9%, vagina - 5,6 - 14,4%; organs of the male reproductive system - 7,4%: prostate - 3,3 - 3,7% and seminal vesicles - 3,7%. The frequency of morphologically verified tumor invasion into adjacent organs is 49 - 84%, while the number of surgeons prefers the aggressive tactics of surgical treatment. Efficiency of laparoscopic multivisceral resection is proved, that can be considered as alternative operations in the surgical treatment of CRC T4 mostly faster rehabilitation of patients. Multivisceral resection has the only drawback - high risk of postoperative complications, against the same standard of surgery for CRC uncommon forms of 5-year survival rate, the better the chance of survival in the long term after surgery.