DOI: 10.25881/20728255_2024_19_3_156

Authors

Kaminskij Yu.D.1, 2, Kulikov E.P.1, Botov A.V.2, Miheev A.V.1, 2, Plotnikova O.A.1, Sharapov D.A.2, Shustov A.E.2

1 Federal State Budgetary Educational Institution of the Ryazan State Medical University of the Ministry of Health of Russia, Ryazan

2 State-Funded Institution Ryazan Regional Clinical Oncological Dispensary, Ryazan

Abstract

In this article a clinical case of a patient with locally advanced colon cancer is presented. The necessity and expediency of performing multivisceral colon resection are discussed. In colon cancer involving neighboring organs and soft tissues, secondary lesions are limited in nature, which makes it possible to consider the possibility of performing organ-preserving surgical interventions. A patient with a tumor of the splenic bend of the colon with signs of extraorgan spread underwent a combined left-sided hemicolectomy with longitudinal resection of the stomach, resection of the left dome of the diaphragm with an atypical resection S4. 5 of the left lung, splenectomy. The postoperative period was uneventful. He satisfactorily underwent 4 courses of adjuvant chemotherapy according to the XELOX regimen. With dynamic observation, no data for recurrence was obtained, and stabilization of the process was achieved. The patient currently feels satisfactory and leads an active lifestyle.

Keywords: а clinical case of a locally advanced colon cancer, multivisceral colon resections, multi-organ resection of the colon.

References

1. Kulikov EP, Ryazancev ME, Zubareva TP, et al. Dinamika zabolevaemosti i smertnosti ot zlokachestvennyh novoobrazovanij v Ryazanskoj oblasti v 2004-2014 godah. Rossijskij mediko-biologicheskij vestnik im. akademika I.P. Pavlova. 2015; 23(4): 109-115. (In Russ.) doi: 10.17816/PAVLOVJ20154109-115.

2. Sostoyanie onkologicheskoj pomoshchi naseleniyu Rossii v 2022 godu. A.D. Kaprin, V.V. Starinskiy, A.O. SHahzadova, editors. M.: MNIOI im. P.A. Gercena − filial FGBU «NMIC radiologii» Minzdrava Rossii, 2022. 239 p. (In Russ.)

3. Davydov MI, Rasulov AO, Kuzmichev DV, et al. Gastropancreatoduodenal resection in surgical treatment of complicated right-sided colon cancer. Klinicheskaya i eksperimentalnaya khirurgiya im. akad. B.V. Petrovskogo. 2015; 4(10): 12-7. (In Russ.)

4. Davydov MI., PatyutkoYuI, RasulovAO, et al. Strategy of surgical treatment for locally advanced cancer. Khirurgiya. Zhurnalim. N.I. Pirogova. 2017; 4: 30-5. (In Russ.)

5. Croner RS, Merkel S, Papadopoulos T, et al. Multivisceral resection for colon carcinoma. Dis Colon Rectum. 2009; 52(8): 1381-6. doi: 10.1007/ DCR.0b013e3181ab580b.

6. Gancev SHH, Husnutdinov SHM, Parfenov AYU. Obosnovanie ob"ema mul'tiorgannyh operacij pri kolorektal'nom rake. Kreativnaya hirurgiya i onkologiya. 2011; 1. (In Russ.)

7. Parfenov AYU. Otdalennye rezul'taty mul'tiorgannyh operacij pri mestnorasprostranennom kolorektal'nom rake. Kreativnaya hirurgiya i onkologiya. 2013; 4. (In Russ.)

8. Budurova MD, Davydov MМ, Aliev VA, Polockij BE, Ahmedov BB. Klinicheskoe nablyudenie mul'tiorgannoj rezekcii pri mestno-rasprostranennom rake levoj poloviny tolstoj kishki. Tazovaya hirurgiya i onkologiya. 2018; 1. (In Russ.)

9. Sevostyanov VV. Surgical treatment of complicated locally advanced colon cancer. [autoreferat]. Rostov-on-Don, 2009. (In Russ.)

For citation

Kaminskij Yu.D., Kulikov E.P., Botov A.V., Miheev A.V., Plotnikova O.A., Sharapov D.A., Shustov A.E. Possibilities of surgical treatment of locally advanced colon cancer. Bulletin of Pirogov National Medical & Surgical Center. 2024;19(3):156-158. (In Russ.) https://doi.org/10.25881/20728255_2024_19_3_156