Results of surgical treatment for familial adenomatous polyposis
O. I. Kit,
Yu. A. Gevorkyan,
N. V. Soldatkina,
E. N. Kolesnikov,
V. E. Kolesnikov,
O. K. Bondarenko,
E. K. Khabzhokov https://doi.org/10.33878/2073-7556-2022-21-2-47-56
Abstract
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.
About the Authors
O. I. Kit
National Medical Research Centre for Oncology
Russian Federation
Russian Federation
Oleg I. Kit
344037
Line 14 st., 63
SPIN: 1728-0329
Rostov-on-Don
Yu. A. Gevorkyan
National Medical Research Centre for Oncology
Russian Federation
Russian Federation
Yury A. Gevorkyan
344037
Line 14 st., 63
SPIN: 8643-2348
Rostov-on-Don
N. V. Soldatkina
National Medical Research Centre for Oncology
Russian Federation
Russian Federation
Natalia V. Soldatkina
344037
Line 14 st., 63
tel.: +7 (918) 545-3004
SPIN: 8392-6679
Rostov-on-Don
E. N. Kolesnikov
National Medical Research Centre for Oncology
Russian Federation
Russian Federation
Evgeny N. Kolesnikov
344037
Line 14 st., 63
Rostov-on-Don
V. E. Kolesnikov
National Medical Research Centre for Oncology
Russian Federation
Russian Federation
Vladimir E. Kolesnikov
344037
Line 14 st., 63
Rostov-on-Don
O. K. Bondarenko
National Medical Research Centre for Oncology
Russian Federation
Russian Federation
Olga K. Bondarenko
344037
Line 14 st., 63
Rostov-on-Don
E. K. Khabzhokov
National Medical Research Centre for Oncology
Russian Federation
Russian Federation
Eldar K. Khabzhokov
344037
Line 14 st., 63
Rostov-on-Don
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For citations:
Kit O.I., Gevorkyan Yu.A., Soldatkina N.V., Kolesnikov E.N., Kolesnikov V.E., Bondarenko O.K., Khabzhokov E.K. Results of surgical treatment for familial adenomatous polyposis. Koloproktologia. 2022;21(2):47-56. https://doi.org/10.33878/2073-7556-2022-21-2-47-56
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