SURGICAL TREATMENT OF RECTAL LESIONS IN ELDERLY AND OLD PATIENTS

Abstract

The task of this study is to evaluate the results of surgical (traditional and laparoscopic) treatment of elderly and old patients with rectal cancer. Material and methods: the study included 121 surgical patients with rectal cancer with morphologically confirmed diagnosis and radicality of the performed operation. All patients received informed consent for the study and access to information. There were 56 males and 65 females aged 30 years to 83 years (average age 61.7±1.8 years). The main study group (older age) included 63 patients aged 60 years and older, and the comparison group (younger age) included 60 patients under the age of 59 years.Results: surgical treatment performed in 104 patients with large rectal cancer, including 56 patients of older group and 48 patients of the younger group. Surgical interventions were varied and performed using both laparoscopic techniques (54 patients) and traditional approaches (50 patients). The article presents the results of surgical treatment of patients with large rectal lesions of older age groups operated using traditional and laparoscopic surgical techniques, analyzes the causes of complications and access conversion during laparoscopic interventions. Laparoscopic operations are the method of choice in the group of elderly and old patients with large rectal lesions in the absence of local or general contraindications.Conclusion: the data presented a high efficiency and safety of surgical treatment in the group of elderly and old age patients with rectal cancer.