Outcomes after intraoperative photodynamic therapy in the combined treatment of locally advanced colon cancer
https://doi.org/10.37895/2071-8004-2023-27-2-8-15
Abstract
Purpose. To study outcomes after the combined treatment of locally advanced colon cancer with intraoperative photodynamic therapy.
Materials and methods. 35 patients with locally advanced colon cancer were included in the trial. Patients from the main group (n = 17) had intraoperative photodynamic therapy in combination with elective surgery. Patients from the control group (n = 18) had only surgical treatment. For photodynamic therapy, photosensitizer Photolon and “Lakhta-Milon” diode laser with wavelength 662 nm and power up to 2.5 W were used. Laser light was delivered via a quartz polymer fiber with diameter 600 microns.
Results and discussion. Better positive immediate and long-term outcomes were registered in patients with locally advanced colon cancer from the main group, if to compare with the control group (length of hospital stay, number of remissions, relapses and mortality).
Conclusion: Intraoperative photodynamic therapy improves outcomes after the combined treatment of patients with locally advanced colon cancer.
About the Authors
I. V. KrochekRussian Federation
Igor Krochek, MD., Dr. Sci. (Med.), Professor
department of general and pediatric surgery
Chelyabinsk
R. D. Ibatullin
Russian Federation
Robert Ibatullin, MD., head of department
oncologic department
Chelyabinsk
A. V. Lappa
Russian Federation
Alexander Lappa, Dr. Sci. (Phys. and Math.), Professor
department of general and theoretical physics
Chelyabinsk
A. E. Anchugova
Russian Federation
Anastasia Anchugova, physicist, senior lecturer
Scientific and Educational Center “Problems of Fundamental Medicine”
department of general and theoretical physics
Chelyabinsk
References
1. Kaprin A.D., Starinsky V.V., Shakhzadova A.O. The state of oncological care for the population of Russia in 2021. Moscow: P.A. Herzen State Medical Research Institute – branch of the Federal State Budgetary Institution “NMIC of Radiology” of the Ministry of Health of Russia. 2022. 239 p. [In Russ.].
2. Khvatov A.A., Maistrenko N.A., Sazonov A.A., Sherstneva E.M., Otochkin V.V. Possibilities of surgical treatment of patients with rectal cancer relapses. Bulletin of Surgery. 2018; 177 (2): 39-45. [In Russ.].
3. Achkasov S.I., Nazarov I.V., Sushkov O.I., Lichter M.S. Local recurrence of colon cancer: treatment results. Surgery. 2019; (3): 21–31. [In Russ.].
4. Barr H, Krasner N., Boulos P.B. Photodynamic therapy for colorectal cancer: a quantitative pilot study. Br J Surg. 1990; 77 (1): 93–96.
5. Stranadko E.P., Skobelkin O.K., Vorozhtsov G.N. Photodynamic therapy of cancer: five-year clinical experience. Proc. SPIE 3191. Photochemotherapy: Photodynamic Therapy and Other Modalities III. 1997. DOI: 10.1117/12.297812
6. Nakamura M., Nishikawa J., Hamabe K. Preliminary study of photodynamic diagnosis using 5-aminolevulinic acid in gastric and colorectal tumors. World J. Gastroenterol. 2015; 21: 6706–6712. DOI: 10.3748/wjg.v21.i21.6706
7. Kawczyk-Krupka A., Bugaj A.M., Latos W. Photodynamic therapy in colorectal cancer treatment – the state of the art in preclinical research. Photodiagnosis and Photodynamic Therapy. 2016; 13: 158–174. DOI: 10.1016/j.pdpdt.2015.07.175
8. Sun B.O., Li W., Liu N. Curative effect of the recent photofrin photodynamic adjuvant treatment on young patients with advanced colorectal cancer. Oncol. Lett. 2016; 11: 2071–2074. DOI: 10.3892/ol.2016.4179
9. Zhang S.Q., Liu K.J., Yao H.L. Photodynamic therapy as salvage therapy for residual microscopic cancer after ultralow anterior resection: A case report. World J Clin Cases. 2019; 7 (6): 798–804.
10. Privalov V., Lappa A., Seliverstov O. Clinical Trials of a New Chlorin Photosensitizer for Photodynamic Therapy of Malignant Tumors. Proc. SPIE. 4612. 2002.
11. Guidolin K., Ding L., Yan H. Photodynamic Therapy for Colorectal Cancer: A Systematic Review of Clinical Research. Surgical Innovation. 2022; 29 (6): 788–803. DOI: 10.1177/15533506221083545 (PROSPERO, CRD42021233971)
12. Alves-Silva E.G., Arruda-Vasconcelos R., Louzada L.V. The effect of photodynamic therapy on postoperative pain in teeth with primary endodontic infection. Photodiagnosis and Photodynamic Therapy. 2022; 37: 102–107.
13. Coelho M.S., Vilas-Boas L., Tawil P.Z. The effects of photodynamic therapy on postoperative pain in teeth with necrotic pulps. Photodiagnosis and Photodynamic Therapy. 2019; 27: 396–401.
Review
For citations:
Krochek I.V., Ibatullin R.D., Lappa A.V., Anchugova A.E. Outcomes after intraoperative photodynamic therapy in the combined treatment of locally advanced colon cancer. Laser Medicine. 2023;27(2):8-15. (In Russ.) https://doi.org/10.37895/2071-8004-2023-27-2-8-15