[Organization of urgent surgical treatment for complicated colonic cancers in a large industrial city].
The study was concerned with evaluating the results of follow-up of 756 cases of complications of colorectal cancers urgently admitted for surgery to four hospitals of St. Petersburg. Most patients were hospitalized late when complications diagnosed as an acute disease of organs of the abdominal cavity were apparent. Frequent postoperative complications and poor results of treatment were due to advanced age of patients, their grave general condition, concommitant pathologies, frequent errors of diagnosis made before and during hospitalization and lack of a single strategy of therapy. No improvement in the results of treatment of these grave cases can be expected unless the quality of diagnosis and the standards of urgent surgical aid organization are improved and an efficient therapeutic strategy is developed.
Ushveridze
D G
DG
Simonov
N N
NN
Barchuk
A S
AS
Miniaev
V A
VA
Vishniakov
N I
NI
Afonina
E V
EV
Guliaev
A V
AV
Pravosudov
I V
IV
D000368:Aged; D003110:Colonic Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D003951:Diagnostic Errors; D004630:Emergencies; D013502:General Surgery / Q000458:organization & administration*; D006760:Hospitalization; D006801:Humans; D008875:Middle Aged; D012426:Russia