[Surgical treatment of obturation obstruction of the colon].
Treatment results of 336 patients with obturative obstruction of the colon were analyzed, stages of disease development were demonstrated (4 stages). Based on this classification treatment-diagnostic algorithm was developed, which permitted to make terms and scope of preoperative preparation more correct. Individualized preoperative policy and developed complex of inflammatory complications prophylaxis allowed to expand indications for radical operative interventions including combined operations to 85.1%. Only technically unremovable tumors and multiple distant metastases were contraindications for primary resections. Lethality decreased to 7.1%, local inflammatory complications--to 12.7%.
Totikov
V Z
VZ
Khestanov
A K
AK
Zuraev
K E
KE
Dzgoeva
D B
DB
Baskaev
Ch Iu
ChIu
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D003108:Colonic Diseases / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications; D013997:Time Factors