[Surgical treatment of neoplastic obstruction of the left colon--economic and medical aspects].
Left-sided obstructing resectable colonic cancer is treated by one-stage resection-anastomosis or resection without anastomosis (the Hartmann operation). Morbidity and mortality rates after the first and the second procedure performed in our Department were similar, therefore we analyzed the duration of the operation, hospital stay, cost of the operation, and yearly cost of management. In one-stage operation, the operating time was longer and the costs higher than in the Hartmann procedure. One-stage procedure stay in surgical department was shorter, quality of life higher, and finally, year expenses--cheaper.
Wysocki
A
A
II Klinika Chirurgii Ogólnej, Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie.
Krzywoń
J
J
D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000191:economics / Q000379:methods; D003110:Colonic Neoplasms / Q000601:surgery*; D003363:Cost Control; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D007902:Length of Stay; D008875:Middle Aged; D011788:Quality of Life