Multistage surgical treatment of elderly patient with multiple colon cancer: case report
https://doi.org/10.17650/2220-3478-2015-5-3-38-41
Abstract
А clinical case of successful multistage surgical treatment of elderly patient with primary synchronous colon cancer is presented. Locally
advanced tumor are in ascending colon, the secod tumor are in sigmoid colon. The treatment realized in two stages after assessment by multidisciplinary team based on decision of council of physicians consist of oncologist, anaesthesiologist, therapeutist and neurologist. First stage include an ileotransversal bypass. After the complex rehabilitation during one month in aggregate with pre-operative council of physicians second stage are simultaneous radical right hemicolectomy with abdominal wall resection and sigmoidectomy with abdominal wall defect plastic by own tissues. Staged surgical treatment allowed to perform radical resection of the giant malignant neoplasm of the colon with good clinicasl result.
About the Authors
M. H. Fridman
Saint Petersburg City Clinical Oncology Dispensary; 3/5, 2nd Beryozovaya Avenue, Saint Petersburg, 197022, Russia
Russian Federation
Russian Federation
V. I. Gilinskiy
Saint Petersburg City Clinical Oncology Dispensary; 3/5, 2nd Beryozovaya Avenue, Saint Petersburg, 197022, Russia
Russian Federation
Russian Federation
E. Yu. Klimov
Saint Petersburg City Clinical Oncology Dispensary; 3/5, 2nd Beryozovaya Avenue, Saint Petersburg, 197022, Russia
Russian Federation
Russian Federation
E. Yu. Zorina
Saint Petersburg City Clinical Oncology Dispensary; 3/5, 2nd Beryozovaya Avenue, Saint Petersburg, 197022, Russia
Russian Federation
Russian Federation
G. N. Khrykov
S.M. Kirov Military Medical Academy, Ministry of Defense of Russia; 5 Academician Lebedev St., Saint Petersburg, 194044, Russia
Russian Federation
Russian Federation
References
1. Рак у пожилых. Под ред. В. Н. Анисимова, К. П. Хавинсона, В. М. Моисеенко. Спб.: Изд-во Н-Л, 2004. 336 с. [Cancer of elderly patients. By eds.: V. N. Anisimov, K. P. Khavinson, V. M. Moiseenko. Saint Petersburg: Izd-vo N-L, 2004. 336 p. (In Russ.)].
2. Маркарьян Д. Р., Никода В. В., Царьков П. В. Мультидисциплинарный подход в периоперационном ведении больных колоректальным раком в старческом возрасте (обзор литературы). Российский журнал гастроэнтерологии, гепатологии, колопроктологии 2011;21(1):50–6.
3. [Markariyan D. R., Nikoda V. V., Tsarkov P. V. Multidisciplinary approach in the perioperative management of elderly patients with colorectal cancer (literature review). Rossiyskiy zhurnal gastroenterologii, gepatologii, koloproktologii = Russian Journal of Gastroenterology, Hepatology, Coloproctology 2011;21(1):50–6. (In Russ.)].
4. Мартынюк В. В., Пресняков В. Н., Сулейман Т. А. Хирургическое лечение рака прямой кишки у больных пожилого и старческого возраста. Вестник хирургии им. И. И. Грекова 2000;6:28–30.
5. [Martynyuk V. V., Presnyakov V. N., Suleyman T. A. Surgical treatment of cancer of the rectum of elderly and old patients. Vestnik khirurgii im. I. I. Grekova = I. I. Grekov Surgery Herald 2000;6:28–30. (In Russ.)].
6. Aapro M. S., Kohne C. H., Cohen H. J., Extermann M. Never too old? Age should not be a barrier to enrollment in cancer clinical trials. Oncologist 2005;10(3):198–204.
7. Folprecht G., Cunningam D., Ross P. et al. Efficacy of 5-fluorouracil-based chemotherapy in elderly patients with metastatic colorectal cancer: a pooled analysis of clinical trials. Ann Oncol 2004;15(4):1330–8.
8. Манихас Г. М., Хрыков Г. Н., Ханевич М. Д., Фридман М. Х. Клинические рекомендации по лечению колоректального рака у больных пожилого и старческого возраста. Успехи геронтологии 2013;26(3):458–68. [Manikhas G. M., Khrykov G. N., Khanevich M. D., Fridman M. Kh. Clinical recommendations for treatment of colorectal cancer of elderly and old patients. Uspekhi gerontologii = Progress of Gerontology 2013;26(3):458–68. (In Russ.)].
9. Манихас Г. М., Фридман М. Х., Ханевич М. Д. и др. Непосредственные результаты лечения рака желудка и толстой кишки у больных старческого возраста. Мат-лы VIII съезда онкологов России. 11–13 сентября 2013 г. В 3 т. Т. 3. СПб., 2013. С. 959. [Manikhas G. M., Fridman M. Kh., Khanevich M. D. et al. Direct results of treatment of the stomach cancer and cancer of the colon of old patients. Materials of the VIII assembly of oncologists of Russia. September, 11–13, 2013. In 3 volumes. Vol. 3. Saint Petersburg, 2013. P. 959. (In Russ.)].
10. Turrentine F. E., Wang H., Simpson V. B., Jones R. S. Surgical risk factors, morbidity and mortality in elderly patients. J Am Coll Surg 2006;203(6):865–77.
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