Koloproktologia最新文献_第4页

Efficacy and safety of hybrid laparo-endoscopic surgery for colon tumors (systematic review and meta-analysis) 腹腔镜-内镜混合手术治疗结肠肿瘤的有效性和安全性（系统回顾和荟萃分析）

Koloproktologia Pub Date : 2023-12-21 DOI: 10.33878/2073-7556-2023-22-4-135-146

Alexey V. Kolosov, S. Achkasov, E. Surovegin, R. Y. Khryukin, A. Likutov, O. Sushkov

{"title":"Efficacy and safety of hybrid laparo-endoscopic surgery for colon tumors (systematic review and meta-analysis)","authors":"Alexey V. Kolosov, S. Achkasov, E. Surovegin, R. Y. Khryukin, A. Likutov, O. Sushkov","doi":"10.33878/2073-7556-2023-22-4-135-146","DOIUrl":"https://doi.org/10.33878/2073-7556-2023-22-4-135-146","url":null,"abstract":"Aim: to compare the efficacy and safety of hybrid laparo-endoscopic operations and laparoscopic segmental colectomy for benign endoscopically non-removable colorectal tumors.Materials and Methods: systematic review and meta-analysis included 17 studies which evaluate the results of hybrid laparo-endoscopic procedure (main group) and laparoscopic segmental colectomy (control group). The study included 835 patients — 517 in main group and 318 controls.Results: operation time was significantly lower in main than in control group (mean difference = −38,7 minutes; 95% CI: −51,4 — −26, p < 0,00001). There was significant difference in postoperative hospital stay. It was shorter in main group (mean difference = −2,3 days; 95% CI: −3,17 — −1,57, p < 0,00001). There was not significant difference between odds ratio of postoperative morbidity (OR = 0,7; 95% CI: 0,38–1,53, p = 0,44), mortality (OR = 0,4; 95% CI: 0,07–3,11, p = 0,43) and local recurrence rate as well (OR = 2,8; 95% CI: 0,68–11,35, p = 0,15).Conclusion: the hybrid laparo-endoscopic technique patients with benign endoscopically non-removable colon tumors does not increase the postoperative morbidity and mortality. At the same time, the hybrid technology reduces the operation time and postoperative hospital stay.","PeriodicalId":17840,"journal":{"name":"Koloproktologia","volume":"64 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138951239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emphysema as a complication after transanal endoscopic microsurgery (TEM) (case report and review) 经肛门内窥镜显微手术（TEM）后的并发症--气肿（病例报告和综述）

Koloproktologia Pub Date : 2023-12-21 DOI: 10.33878/2073-7556-2023-22-4-113-120

E. Khomyakov, T. A. Eryshova, M. V. Kapitanov, S. Chernyshov, E. G. Rybakov

引用次数: 0

The learning curve for transanal hemorrhoidal dearterialization with mucopexy. Experience of 459 cases 经肛门痔核脱出粘膜环切术的学习曲线。459 个病例的经验

Koloproktologia Pub Date : 2023-12-21 DOI: 10.33878/2073-7556-2023-22-4-62-70

I. A. Matveev, F. S. Aliev, A. I. Matveev, L. A. Morozova, N. N. Povarnin, V. T. Dgebuadze, V. V. Tarasenko, K. M. Chorba

{"title":"The learning curve for transanal hemorrhoidal dearterialization with mucopexy. Experience of 459 cases","authors":"I. A. Matveev, F. S. Aliev, A. I. Matveev, L. A. Morozova, N. N. Povarnin, V. T. Dgebuadze, V. V. Tarasenko, K. M. Chorba","doi":"10.33878/2073-7556-2023-22-4-62-70","DOIUrl":"https://doi.org/10.33878/2073-7556-2023-22-4-62-70","url":null,"abstract":"Aim: to evaluate learning curve for transanal hemorrhoidal dearterialization (THD) with mucopexy for chronic hemorrhoids II-IV stage.Patients and Methods: the THD was performed by one surgeon in 459 patients under local anesthesia in 2013- 2021. Patients were aged 45 (37;54) years, 355 (77.3%) — males. Stage II was diagnosed in 85 (18.5%) cases, stage II-III — in 47 (10.2%), stage III — in 296 (64.5%), stage III-IV and IV — in 27 (5.9%) and 4 (0.9%) cases. Regression and CUSUM analysis were used to construct the learning curve. The operation time, postoperative morbidity and recurrence rate were assessed.Results: the operation time was 25 (25;32.5) minutes, it was achieved on 210 cases. The postoperative complications occurred in 7 (1.5%) cases and were significantly often in stage III-IV and IV — 3 (9.7%) cases (p = 0.001). Recurrence was showed in 29 (6.3%) cases after 1 year of follow-up. The CUSUM function graph showed that with the experience level, a 2-fold decrease in the morbidity rate and recurrence rate was achieved after 24 and 28 procedures, respectively. When experience is achieved, the morbidity rate was low regardless of the disease stage. Despite the experience obtained, in patients operated in the 3rd and 4th quartiles, the recurrences occurred in 10 (7.7%) and 9 (8.8%) patients, respectively.Conclusion: the indicator of experience obtained is the decrease of operation time and post-op morbidity. The experience level dies not affect recurrence rate in stages III-IV due to limitations of the technique.","PeriodicalId":17840,"journal":{"name":"Koloproktologia","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138952055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Complex neurophysiological algorithm for pudendal nerve neuropathy for descending perineum syndrome 会阴下降综合征会阴神经病变的复杂神经电生理算法

Koloproktologia Pub Date : 2023-12-21 DOI: 10.33878/2073-7556-2023-22-4-80-88

O. Fomenko, A. A. Mudrov, S. V. Belousova, M. A. Nekrasov, S. Achkasov

{"title":"Complex neurophysiological algorithm for pudendal nerve neuropathy for descending perineum syndrome","authors":"O. Fomenko, A. A. Mudrov, S. V. Belousova, M. A. Nekrasov, S. Achkasov","doi":"10.33878/2073-7556-2023-22-4-80-88","DOIUrl":"https://doi.org/10.33878/2073-7556-2023-22-4-80-88","url":null,"abstract":"Aim: to improve diagnostics for descending perineum syndrome.Patients and Methods: the prospective cohort study included 127 patients (85 (66.9%) — females), aged 49.9 ± 14.4 years with descending perineum syndrome. All patients had proctogenic constipation, anal incontinence and/or chronic neurogenic pelvic pain. All patients underwent a neurophysiological examination according to the original complex pudendal nerve terminal motor latency (PNTML) method — neurophysiological protocol for detection of the pelvic floor muscles innervation disorders.Results: the latency of the M-response of the pudendal nerve increased on at least one side in 85 (66.9%) patients (50 women and 35 men). The use of a new complex neurophysiological diagnostic protocol made it possible to identify signs of pudendal neuropathy in 29.9% of patients. The incidence of neuropathy in patients with clinically significant perineal prolapse syndrome was 96.5% in females and 97.6% in males.Conclusion: the new complex neurophysiological diagnostic algorithm made it possible to identify disorders of innervation along the efferent pathway in the Alcock’s canal and distally in 85 (66.9%) cases, along the efferent pathway proximal to the Alcock’s canal — in 23 (18.1%); a combination of efferent and afferent disturbances occurred in 15 (11.8%).","PeriodicalId":17840,"journal":{"name":"Koloproktologia","volume":"82 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138952764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Foreign body of the colon (case report) 结肠异物（病例报告）

Koloproktologia Pub Date : 2023-12-21 DOI: 10.33878/2073-7556-2023-22-4-99-103

M. I. Davidov

引用次数: 0

Value of computed tomography and abdominal ultrasound for chronic inflammatory complications of diverticular disease 计算机断层扫描和腹部超声波对憩室疾病慢性炎症并发症的价值

Koloproktologia Pub Date : 2023-12-21 DOI: 10.33878/2073-7556-2023-22-4-33-44

D. M. Belov, I. Zarodnyuk, Y. L. Trubacheva, A. I. Moskalev, O. Maynovskaya

{"title":"Value of computed tomography and abdominal ultrasound for chronic inflammatory complications of diverticular disease","authors":"D. M. Belov, I. Zarodnyuk, Y. L. Trubacheva, A. I. Moskalev, O. Maynovskaya","doi":"10.33878/2073-7556-2023-22-4-33-44","DOIUrl":"https://doi.org/10.33878/2073-7556-2023-22-4-33-44","url":null,"abstract":"Aim: to evaluate the diagnostic value of computed tomography (CT) and abdominal ultrasound (US) for chronic inflammatory complications in patients with diverticular disease (DD).Patients and Methods: the prospective cohort study included 50 patients with complicated DD. All patients underwent preoperative abdominal CT with intravenous contrast and abdominal US, with further elective bowel resection. The results of CT and ultrasound were compared with morphology of the removed specimens.Results: the sensitivity and specificity for chronic diverticulitis was 66.7% and 95.7% for CT and 100.0% and 95.7% for US. For chronic pericolic abdominal mass it was 94.8% and 90.9% for CT, 94.8% and 100.0% for US; for abdominal abscesses/cavities it was 87.5% and 96.2% for CT and 91.6% and 100.0% for US; for diverticular fistulas it was 87.5% and 100.0% for CT and 87.5% and 100.0% for US. No significant differences were obtained between two diagnostic modalities. A high level of consistency (κ-coefficient 0.71) of CT and US for the diagnosis of inflammatory complications of DD was found. Conclusion: CT and US have a similar high diagnostic value for chronic inflammatory complications of DD. Each of them can be used as a single diagnostic modality or both depending on the clinical case.","PeriodicalId":17840,"journal":{"name":"Koloproktologia","volume":"15 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138948450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of multimodal treatment including preoperative chemotherapy for upper rectal cancer 包括术前化疗在内的上部直肠癌多模式治疗效果

Koloproktologia Pub Date : 2023-12-21 DOI: 10.33878/2073-7556-2023-22-4-45-52

A. Dobrodeev, A. Tarasova, S. G. Afanasiev, D. Kostromitsky, A. A. Ponomareva, N. Babyshkina

{"title":"Outcomes of multimodal treatment including preoperative chemotherapy for upper rectal cancer","authors":"A. Dobrodeev, A. Tarasova, S. G. Afanasiev, D. Kostromitsky, A. A. Ponomareva, N. Babyshkina","doi":"10.33878/2073-7556-2023-22-4-45-52","DOIUrl":"https://doi.org/10.33878/2073-7556-2023-22-4-45-52","url":null,"abstract":"Aim: to analyze outcomes of multimodal treatment including preoperative chemotherapy with FOLFOX 4 regimen in patients with upper rectal cancer.Patients and Methods: the pilot study included 24 patients. Stages II and III were confirmed in 2 (8.3%) and 22 (91.7%) patients, respectively. All patients underwent 3 cycles of chemotherapy in FOLFOX 4 regimen followed by surgery. In the postoperative period, patients with T4 and N+ underwent adjuvant chemotherapy administered over 6 months including the time of preoperative treatment.Results: all patients completed preoperative chemotherapy with the FOLFOX 4 regimen. The toxicity of chemotherapy was 38.9%; adverse events did not exceed grades I-II. Partial tumor regression (RECIST 1.1 criteria) was achieved in 18 (75.0%) patients. All patients underwent surgery 4 weeks after chemotherapy. Postoperative complications occurred in 4 (16.7%) patients, 1 (4.2%) had grade IIIb complication (Clavien-Dindo scale), which required re-surgery. Pathological complete response (TRG1 by Mandard scale) was revealed in 1 (4.2%) patient. Thirteen patients (54.2%) received adjuvant chemotherapy. The mean follow-up was 38 (17-54) months. Three patients (12.5%) developed local recurrence and 4 (16.7%) patients — distant metastases. The 3-year overall and diseasefree survival rates were 91.7% и 79.2%, respectively.Conclusion: multimodal treatment including preoperative chemotherapy with the FOLFOX 4 regimen was well tolerated and produced tumor regression with high 3-year survival rates in patients with upper rectal cancer.","PeriodicalId":17840,"journal":{"name":"Koloproktologia","volume":"31 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138951712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Individual approach to metastatic colorectal cancer treatment (clinical cases) 转移性结直肠癌治疗的个体化方法（临床案例）

Koloproktologia Pub Date : 2023-12-21 DOI: 10.33878/2073-7556-2023-22-4-104-112

O. I. Kit, Y. Gevorkyan, N. Soldatkina, L. Vladimirova, I. L. Popova, O. Bondarenko, A. Dashkov, V. E. Kolesnikov

引用次数: 0

COMMENTS Rais R. Shakirov, Oleg Yu. Karpukhin, Marat I. Ziganshin, Ivan S. Raginov Granular cell tumor of the perineum (clinical case) 评论 Rais R. Shakirov、Oleg Yu.卡尔普欣、马拉特-伊-日甘申、伊万-S-拉吉诺夫会阴部颗粒细胞瘤（临床病例）

Koloproktologia Pub Date : 2023-12-01 DOI: 10.33878/2073-7556-2023-22-4-127-128

O. A. Mainovskaya

引用次数: 0

COMMENTS Maksimkin A.I., Bagatelia Z.A., Gordienko E.N., Emelyanova E.B., Sakaeva D.M. Morpho-functional aspects of various parts of the intestine and risk factors associated with the preventive ileostomy (review) COMMENTS Maksimkin A.I.、Bagatelia Z.A.、Gordienko E.N.、Emelyanova E.B.、Sakaeva D.M.肠道各部分的形态功能以及与预防性回肠造口术相关的风险因素（综述）

Koloproktologia Pub Date : 2023-12-01 DOI: 10.33878/2073-7556-2023-22-4-155

A. Editorial

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