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Treatment of colorectal cancer, using advanced navigation technologies

Colon cancer occupies a leading position in the structure of cancer morbidity and mortality and is more often diagnosed at late stages. Significantly reduces the effectiveness of treatment late treatment of patients. 

The results of treatment are primarily determined by the stage of the process and the radical nature of the surgical intervention performed. An important stage of the operation is the removal of the lymph nodes, which allows for a more accurate staging of the tumor process and determines the best prognosis. 

The use of modern minimally invasive technologies has a significant impact on the quality of life of patients, the duration of hospitalization and the severity of pain after surgery. More than 70% of the Coloproctology department of the MCSC performs laparoscopic minimally invasive surgery for colon cancer, with simultaneous reconstructive stage, without the formation of a permanent stoma. 

However, until recently, there were no techniques for accurately detecting lymph nodes in the abdominal cavity. The Department of Coloproctology of the MCSC has introduced and successfully applied an innovative method of laparoscopic navigation surgery for colorectal cancer using the dye indocyanine green (Lap ICG-FGS-Indocyanine Green Fluorescence-Guided Surgery), which allows you to visualize the lymphatic bed, assess the blood supply to the anastomosed areas of the intestine, which allows you to perform precision lymphadenectomy for colon cancer, reduces the percentage of local relapses and complications in the form of failure of inter-intestinal anastomoses. 

Clinical example #1: The use of indocyanine green to determine the pathways of lymphatic outflow from the tumor of the ascending colon. The paracolic lymph node is clearly visible. The technique allows you to identify aberrant lymphatic ducts through which cancer cells can bypass the lymph nodes of the 1-2 order to metastasize to the 3rd group of lymph nodes. This technique helps in choosing the optimal volume of lymphadenectomy for colon cancer.


Clinical example #2: Using the ICG (green indocyanine) technique to determine the blood supply zone of the anastomosed areas of the intestine.




GBUZ Moscow Clinical Scientific Center named after Loginov MHD