title: [The surgical treatment of polyps and early forms of cancer of the large intestine].
abstract: The article describes the present-day principles of surgical treatment of polyps and early forms of colorectal carcinoma appearing against their background. The investigation performed has shown that all benign adenomas of the colon can be successfully treated by local dissection. Sessile tumors located on the lower- and middle-ampullar portions of the rectum, are liable to endorectal dissection, in pedicular tumors endoscopic polypectomy is most expedient. In cases with carcinoma against the background of adenoma, the main criterion determining choice of the method of surgical intervention is the degree of ingrowth of the tumor into the colon walls. An analysis of long-term results of treatment shows that in carcinoma of the colon developing against the background of adenoma, local dissection is not inferior in efficiency to typical radical operations.
authors.forename: R A
authors.initials: RA
authors.lastname: Mel'nikov
authors.forename: I V
authors.initials: IV
authors.lastname: Pravosudov
authors.forename: A V
authors.initials: AV
authors.lastname: Guliaev
authors.forename: V K
authors.initials: VK
authors.lastname: Kovalëv
authors.forename: V V
authors.initials: VV
authors.lastname: Korkhov
authors.forename: N N
authors.initials: NN
authors.lastname: Simonov
mesh_terms: D000236:Adenoma / Q000601:surgery*; D003082:Colectomy; D003110:Colonic Neoplasms / Q000601:surgery*; D003111:Colonic Polyps / Q000601:surgery*; D003113:Colonoscopy; D003125:Colostomy; D004724:Endoscopy; D006801:Humans