Results of surgicaltreatment of colorectalmetastasis inlungs with application of radiofrequent ablation methodand atypical resection



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Abstract

We led out the comparative analysis of treatments results in two groups of patients with
diagnosis colorectal cancer after surgical treatment with progressive process: single Mts in
lungs. There were made lungs atypical resections in the 1 group (42 patients), in the 2 group
(27 patients) - RFA of lungs Mts. The greatest percent of postoperative complications was in
the 1 group (9,5%), but this number was only 3,7% (р=0,64) after RFA. Two-years survival of
patients with colorectal Mts in lungs after lungs atypical resections was 64%, but after RFA
- 71% (р=0,17). The research of lifes quality in both groups of patients by Karnovskys scale
and ECOG-WHO scale reveal the next: through 1 year after operation these indexes were 73%
and 2,2 points accordingly in the 1 group, but in the 2 group - 79% and 1,6 points (р<0,05).
The next estimation of lifes quality was led through 2 years: lifes quality was estimated in
65% and 2,7 points accordingly, but in the 2 group - 74% and 1,7 points (р<0,05). Conclusions.
RFA of lungs Mts from colorectal cancer is a lowdamage, organs presses method with less
number of post operative complications. The indexes of two-years survival and lifes quality
of patients trough 1 and 2 years is better after RFA than the same indexes in the group of
patients after lungs atypical resections.

About the authors

Oleg Igorevich Kaganov

Samara state medical university

Email: info@samsmu.ru
Samara state medical university

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Copyright (c) 2009 Kaganov O.I.

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