SURGICAL TACTICS IN DISTAL COLON CANCER, COMPLICATED BY ACUTE OBSTRUCTION
https://doi.org/10.21886/2219-8075-2014-4-101-103
Abstract
Purpose: to improve the results of treatment of patients with distal colon cancer, complicated by acute intestinal obstruction.
Materials and methods: 385 patients with colonic cancer complicated by acute obstruction were operated on at our clinic.Among them were 221 (57,4%) men and 164 (42,6%) women.
Results: 1 stage of colon obstruction was revealed in118 (30,6%) patients, 2 stage in 137 (35,6%), 3 stage in 87 (22,6%) and 4 stages (peritonitis) in 43 (11,2%) patients. In 355 (92.2%) patients radical or cytoreductive resections were performed, in 30 (7,8%) patients were performed colostomy. 122 (31,7%) patients were underwent combined treatment. In post-operative period 4,9% (19) patients have died. Different complications were registered in 70 (18,2%) patients.
Summary: proposed diagnostic and treatment algorithm improves the immediate results and create conditions for the combined and complex treatments.
Materials and methods: 385 patients with colonic cancer complicated by acute obstruction were operated on at our clinic.Among them were 221 (57,4%) men and 164 (42,6%) women.
Results: 1 stage of colon obstruction was revealed in118 (30,6%) patients, 2 stage in 137 (35,6%), 3 stage in 87 (22,6%) and 4 stages (peritonitis) in 43 (11,2%) patients. In 355 (92.2%) patients radical or cytoreductive resections were performed, in 30 (7,8%) patients were performed colostomy. 122 (31,7%) patients were underwent combined treatment. In post-operative period 4,9% (19) patients have died. Different complications were registered in 70 (18,2%) patients.
Summary: proposed diagnostic and treatment algorithm improves the immediate results and create conditions for the combined and complex treatments.
About the Authors
Z. V. Totikov
North-Ossetian State Medical Academy
Russian Federation
Surgical Disease Department №2
Russian Federation
Surgical Disease Department №2
V. Z. Totikov
North-Ossetian State Medical Academy
Russian Federation
Surgical Disease Department №2
Russian Federation
Surgical Disease Department №2
K. E. Zuraev
North-Ossetian State Medical Academy
Russian Federation
Surgical Disease Department №2
Russian Federation
Surgical Disease Department №2
V. V. Medoev
North-Ossetian State Medical Academy
Russian Federation
Surgical Disease Department №2
Russian Federation
Surgical Disease Department №2
M. V. Kalitsova
North-Ossetian State Medical Academy
Russian Federation
Surgical Disease Department №2
Russian Federation
Surgical Disease Department №2
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Review
For citations:
Totikov Z.V., Totikov V.Z., Zuraev K.E., Medoev V.V., Kalitsova M.V. SURGICAL TACTICS IN DISTAL COLON CANCER, COMPLICATED BY ACUTE OBSTRUCTION. Medical Herald of the South of Russia. 2014;(4):101-103. (In Russ.) https://doi.org/10.21886/2219-8075-2014-4-101-103
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