[Surgical tactics in cancer of the colon complicated by intestinal obstruction].
Operations were carried out on 128 patients with cancer of the colon complicated by the intestinal obstruction. In right localization of the tumor, 25 patients were subjected to one-stage hemicolectomy, ileotransversoanastomosis was established in 6 patients. In left localization, the tumor was removed with the formation of colostomy in 54 patients, double-barrel colostomy or by-pass intestinal anastomosis were created in 36 patients. Among 63 patients with stage III carcinoma in whom obstruction was relieved and the tumor removed simultaneously, 6 died in the postoperative period. There were no fatal outcomes of two-stage radical operations conducted on 9 patients. A total of 33 (25.8%) patients died in the postoperative period. On the basis of the obtained results, the authors consider treatment of intestinal obstruction by removal of the tumor justified.
Tetdoev
A M
AM
Poliakov
A V
AV
D000328:Adult; D000368:Aged; D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000150:complications / Q000601:surgery*; D003125:Colostomy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000150:complications / Q000601:surgery*; D012811:Sigmoid Neoplasms / Q000150:complications / Q000601:surgery
Khirurgicheskaia taktika pri rake tolstoĭ kishki, oslozhnennom kishechnoĭ neprokhodimost'iu.