title: [Expansion of the indications for surgery in neglected rectal cancer].
abstract: Radical surgery was performed in 971 (86.0%) cases of rectal cancer, while palliative resection or extirpation of the rectum--in 158 (14.0%). The postoperative lethality rates were 5.8 and 11.4%, respectively. Sixty-seven patients aged 60 and more underwent palliative resection or extirpation, with eight (11.9%) fatalities occurring shortly after treatment. The postoperative lethality rate was 8.8% in cases of exploratory laparotomy and symptomatic surgery, reaching 15.3% in a group of patients aged 60 years and more. It is inferred that palliative resection, extirpation and palliative combined surgery are justified in treatment advanced rectal cancer whatever patient's age.
authors: V P
authors: VP
authors: Zvezdin
mesh_terms: D000328:Adult; D000367:Age Factors; D006801:Humans; D008875:Middle Aged; D009362:Neoplasm Metastasis; D010166:Palliative Care; D012004:Rectal Neoplasms / Q000401:mortality / Q000601:surgery*; D012007:Rectum / Q000601:surgery
vernacular_title: O rasshirenii pokazaniĭ k operatsii pri zapushchennoĭ rake priamoĭ kishki.