MINIMALLY INVASIVE ENDOSURGICAL INTERVENTIONS IN THE TREATMENT OF ACUTE OBSTRUCTIVE OBSTRUCTION OF THE COLON

Abstract. Introduction. Obstructive colonic obstruction of tumor genesis is most characteristic of tumors of the left colon (67-72%), which is associated with the peculiarities of local growth (endophytic, circular), the specificity of intramural lymphatic drainage, as well as the high density of the tumor in this location and the smaller diameter of the colon. In recent years, a new method of restoring colonic patency has appeared using self-expanding nitinol stents. The aim of the study. To evaluate the effectiveness of the treatment of patients with acute obstructive obstruction of the large intestine with the predominant use of minimally invasive intervention of colorectal stenting. Materials and methods. An analysis of the treatment of 218 patients with obturation of the large intestine was carried out. The average age of the patients was (68.5–7.9) years. The age of all patients ranged from 43 to 79 years. Results and discussion. The result of the installation of colorectal stents was the restoration of intestinal patency in 51 (98.1%) patients. Radical surgical interventions were performed on the patients after copying the phenomena of acute obstructive obstruction of the large intestine and compensation of cardiac pathology. Conclusions. The use of colorectal stenting in the treatment of acute obstructive obstruction of the large intestine allows to achieve a reduction in postoperative mortality and the number of complications, as well as to significantly reduce the postoperative bed-day.