[Synchronous colonic cancers].
The aim of this study is to present the difficulty of an accurate preoperative diagnostic for synchronous colonic cancers and to sustain the necessity of total colectomy. A retrospective study was carried out on 16 patients hospitalized in the IIIrd Surgical Unit, St. Spiridon Hospital, U.M.Ph. "Gr.T.Popa" Iasi between 1990-1999. The surgical procedures were: extensive colectomy with ileo-sigmoid anastomosis, segmentary colectomy, total colectomy with ileo-rectal anastomosis.


RESULTS
Perioperative mortality: zero; uneventfully recovery for all patients. A metachronous lesion 3 years after the first operation was detected in one patient; postoperatively, one patient developed occlussion 3 months after, requiring re-operation.


CONCLUSIONS
1. synchronous colonic cancers are closely related with a genetic instability of the colonic mucosa; 2. total colectomy is a safe manner to prevent metachronous lesions.
Clinica a IIIa Chirurgicala, Spital Sf. Spiridon, UMF Gr.T. Popa, Iasi.
C
C
Diaconu
C
C
Dogaru
V
V
Scripcariu
M
M
Stoian
Cr
C
Dragomir
Ivona
I
Russu
V
V
Pandrea
F
F
Zugun
E
E
Carasievici
Maria-Sultana
MS
Mihailovici
D000230:Adenocarcinoma / Q000175:diagnosis / Q000601:surgery*; D003082:Colectomy / Q000379:methods; D003110:Colonic Neoplasms / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome