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Aim: To assess the role of endoscopic technologies in treatment of complicated forms of colorectal cancer., Material and Methods: Our trial included patients after endoscopic intervention (n=18) and open surgery (n=11)., Results: Mean time of surgery in this group was 158.8±10.7 minutes. In elective surgery group this value was 161.3 minutes (p>0.05). Mean blood loss was not great (near 122.5±17.9 ml). Overall and postoperative hospital-stay was 23.1±2.4 and 8.6±0.5 days, respectively. There were no intraoperative and postoperative complications., Conclusion: Endoscopic interventions may be performed for colon cancer for emergency indications including patients with severe complications.

Aim: To evaluate endoscopic technologies in treatment of patients with colorectal cancer and severe comorbidities., Material and Methods: Two groups of patients after endoscopic (group 1, n = 58) and open (group 2, n = 40) surgery were assessed., Results: Comorbidities were observed in 90.7% patients in group 1 and 83.3% patients in group 2 (p > 0.05). Mean comorbidity index was 6.9±0.3 (2-14) and 7.1±0.7 (2-18) in both groups respectively. Comorbidities ASA grade 3-4 were observed in 88.2% patients of group 1 had and in 71.4% patients of group 2 (p > 0.05). One patient of group 1 with intra-abdominal bleeding required conversion of surgical approach. In another case the conversion was due to technical difficulties during intestinal resection. Postoperative complications were noted in 2 patients (3.4%). There were no intraoperative complications in group 2. Postoperative complications were observed in two cases (5.0%)., Conclusion: Severe comorbidities do not impose serious restrictions on the choice of endoscopic approach in colorectal cancer patients.

Aim: To assess laparoscopic surgery in treatment of colon cancer patients., Material and Methods: The results of laparoscopic treatment of patients with colorectal cancer are presented in the article. It was estimated the influence of various clinical parameters including age, gender, comorbidities, tumor localization and stage and complications on laparoscopic management of these patients., Conclusion: It was revealed that efficiency of laparoscopic surgery in patients with colon cancer is affected by tumor stage and presence of complications.

The article presents the results of surgical treatment of 596 patients with cholelithiasis, operated with minilaparotomy access. Good results were obtained in 93% of patients with chronic calculous cholecystitis, as well as acute inflammation. This access is provided a low number of intraoperative and postoperative complications. In addition, the minimal access allows to extend, if necessary, the intervention and control the complications.