WAYS TO IMPROVE AND MODERN APPROACHES TO DIAGNOSIS AND TREATMENT OF EARLY COLON CANCER: CLINICAL CASE

Gaulika Vladislav Olegovich, Parsadanyan Ararat Mikichevich, Kuznetsov Evgeniy Viktorovich

This article presents a clinical experience in the treatment of «early» colorectal cancer (=T1N0M0). A tumor was diagnosed on a broad base, 13 centimeters from the dentate line, within the muscular layer of the colon wall. To clarify the nature of the lesion, endorectal ultrasound was used to determine the depth of tumor invasion (according to Kudo classification) and to predict a high cytoreductive result of transanal endoscopic surgery. A single-port transanal endoscopic access was used, from which the entire affected colon wall was resected with partial removal of pararectal tissue. The early postoperative period proceeded without complications. At the follow-up period of about 12 months there were no signs of tumor recurrence.

Keywords:«early» colorectal cancer, oncology, manipulation, surgery, endovideosurgery, visualization