[Subtotal colectomy in the treatment of obstructive tumors in the left half of the colon].
The authors give an account of 14 patients during a two-year period where on account of an occluding tumour of the left half of the colon they performed subtotal colectomy with ileodescendent--in 2, ileosigmoideal--in 10 and ileorectal anastomosis in two patients. After operation and by the time when the material was processed, none of the patients died. Based on data in the literature and the authors' own material, the authors discuss the advantages of subtotal colectomy, as compared with hitherto used multistage procedures. The advantages include in particular a lower operative mortality (0-14%), a higher five-year survival (46%) a markedly lower morbidity, time economy, a shorter period of hospitalization and in particular, the patients are spared colostomy, even temporary one. The authors recommend subtotal colectomy as the method of choice on account of ileus caused by tumourous occlusion of the left half of the colon.
Suchý
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I. chirurgická klinika FN KUNZ Hradec Králové.
Krticka
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Pafko
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Kabelác
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K
Voboril
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Z
D000328:Adult; D000368:Aged; D003082:Colectomy / Q000379:methods; D003108:Colonic Diseases / Q000209:etiology; D003110:Colonic Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D008297:Male; D008875:Middle Aged
Subtotální kolektomie v lécbĕ obturujících nádorů levé poloviny tracníku.