Publications by authors named "B S Semchenko"
Aim: Natural orifice specimen extraction surgery (NOSES) has gained significant importance in treating cancers. The current study is a meta-analysis that aimed to assess the short-term efficacy and long-term prognostic impact of NOSES and conventional laparoscopic (CL) surgery in the treatment of colorectal cancer (CRC).
Method: Published reports in several medical databases up to February 2024 were searched and information pertinent to outcomes of NOSES and CL in retrospective and randomized studies to treat CRC was collected.
Article Synopsis
- * A single-port system was utilized for dissection around key anatomical landmarks, including Toldt’s and Gerota’s fascia, which facilitated access to the ileocolic vessels and lymph nodes while minimizing complications associated with past surgical adhesions.
- * The operation lasted 240 minutes with minimal blood loss and low postoperative pain, indicating that this approach is safe and effective, allowing for successful treatment of cecal colon cancer and ensuring a manageable recovery time of 7 days
Objective: To develop and describe a technique of primary retroperitoneal approach for vessel-sparing D3-lymph node dissection in the left colon and rectal cancer surgery; to evaluate the short-term results of the first series of patients treated with a new minimally invasive method.
Material And Methods: The first 10 patients with adenocarcinoma of the left colon and rectum, who underwent surgical treatment using the retroperitoneal approach with vessel-sparing D3 lymph node dissection, were included in the study. The primary retroperitoneal approach involved mobilization of the left side of the colon, D3 lymph node dissection with skeletonization of inferior mesenteric artery (IMA) and selective ligation of afferent vessels from retroperitoneal space using SILS access system at the first steps of surgery.