[Occlusive ileus in colonic cancer].
The experience of treatment is available for 404 patients with mechanical obstruction in cancer of the colon. Clinicoroentgenological and ultrasound examinations of the organs of abdominal cavity provided early diagnosis of the disease. Radical operations were carried out in 59.7% of the patients, palliative ones--in 40.3%. Radical right-sided hemicolectomy was completed by creation of ileotransversoanastomosis, in left-sided hemicolectomy it was obligatory to take out both ends of the resected colon (if it is possible technically and later restoration of its continuity is planned), or the operation of Hartmann type was performed. The operation should be completed in bowel decompression by nasointestinal intubation. It should be used the term "resolved" or "unresolved" bowel obstruction after the performance of conservative measures, and the term "partial bowel obstruction" should not be used as it presents formulation of treatment policy and may be the cause of undue delay of the operation.
Briskin
B S
BS
Smakov
G M
GM
Borodin
A S
AS
Marchenkov
A D
AD
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D003082:Colectomy; D003106:Colon / Q000601:surgery; D003110:Colonic Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged