Results of surgical treatment for familial adenomatous polyposis
| Autor: | O. I. Kit, Yu. A. Gevorkyan, N. V. Soldatkina, E. N. Kolesnikov, V. E. Kolesnikov, O. K. Bondarenko, E. K. Khabzhokov |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Koloproktologia. 21:47-56 |
| ISSN: | 2686-7303 2073-7556 |
| Popis: | Aim: to analyze the results of surgery for familial adenomatous polyposis (FAP). Patients and methods: the case series study included 20 patients with FAP, 85 % of procedures with anastomosis and 15 % with a permanent ileostomy. Laparoscopic approach was used in 35 %. Results: the mean time of operation time was 243 minutes, the mean intraoperative blood loss was 244 ml, and the mean hospital stay was 17.2. Three (15.0 %) patients developed postoperative complications. Laparoscopic procedures were advantageous in terms of intraoperative blood loss and faster recovery. The first polyps were detected in the rectal stump within 6-8 months after surgery, desmoid tumors within 24.3 months. Most patients had an acceptable quality of life with an mean number of stools per day 11.1. Conclusions: FAP is a complex problem of modern medicine requiring the teamwork of various medical specialists. Minimally invasive interventions for FAP have advantages over open procedures. |
| Databáze: | OpenAIRE |
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