title: [Restorative surgery after combined and extensive radical operations on pelvic organs].
abstract: The rates of lower bowel cancer morbidity have risen from 10.1 to 13.5%, while those of urinary bladder--from 7.4 to 8.9%--per 100,000 of population in Omsk Region for the past 6 months. The shares of tumors stage III-IV were 64.3 and 46.1%, respectively. Combined surgery in the organs of the small pelvis was carried out in 275. Since 1997, 32 patients have had the lower part of the bowel and/or urinary bladder removed and an isolated ileocecal angle formed turning towards the small pelvis, as a method of choice for surgical rehabilitation. No early postoperative complications have been reported. At a later stage, 7 patients suffered pyelonephritis and one--stricture of ureteroenteric anastomosis. Our modified procedure of cystoplasty offers optimal means for social rehabilitation of the patient and prevention of reflux-pyelonephritis as well as cutting down the risk of immediate postoperative complications development.
authors.affiliation: Oncological Center, Omsk.
authors.forename: V I
authors.initials: VI
authors.lastname: Shirokorad
authors.forename: D I
authors.initials: DI
authors.lastname: Demin
authors.forename: I I
authors.initials: II
authors.lastname: Minaev
mesh_terms: D000714:Anastomosis, Surgical; D003082:Colectomy / Q000009:adverse effects / Q000379:methods; D039021:Colonic Pouches; D015179:Colorectal Neoplasms / Q000601:surgery*; D015653:Cystectomy / Q000009:adverse effects / Q000379:methods; D006801:Humans; D016737:Proctocolectomy, Restorative / Q000379:methods*; D012426:Russia / Q000453:epidemiology; D014547:Urinary Diversion / Q000379:methods*; D014571:Urologic Neoplasms / Q000601:surgery*
vernacular_title: Vosstanovitel'naia khiururgiia posle kombinirovannykh i rasshirennykh operatsiĭ na organakh malogo taza.