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Updated: Mar 11, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
[Combined surgery for locally advanced colorectal cancer]
O I Kit1, Yu A Gevorkyan1, N V Soldatkina1
1Rostov Research Institute of Oncology, Rostov-on-Don, Russia.
Aim:
To study the types and early outcomes of combined interventions for locally advanced colorectal cancer.
Material And Methods:
Since 2009 four hundreds and ninety eight patients underwent surgery in the Rostov Research Institute of Oncology for locally advanced colorectal cancer. Most cases of surgical procedures on adjacent organs included resection of small intestine (23.69%), supravaginal hysterectomy (16.47%), resection of bladder (12.25%), total hysterectomy (11.45%).
Results:
Postoperative complications occurred in 178 (35.7%) patients. Their incidence was significantly lower in case of laparoscopic approach (12.5%). Functional-sparing interventions on bladder followed by its augmentation with enteric graft improves rehabilitation.
Conclusion:
Laparoscopic approach and functional-sparing surgery improve the results of locally advanced colorectal cancer management.
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