title: [Tactics and operative procedures in the management of complicated forms of malignant tumors of the left colon and rectum on emergency conditions].
abstract: Over the period 1996-2001, a total of 130 patients with complicated cancer of the left colon and 164 patients with complicated cancer of the rectum are subjected to treatment in the Clinic of Emergency Surgery at University Hospital "Queen Joanna", Sofia. Obturation is the commonest form of complication--136 patients (46.2%), followed by perforation either within the tumor or diastatic noted in 21 cases (7.1%), paratumor abscesses and infiltrates in 31 patients (10.5%) and rectohaemorrhage in 12 patients (4.0%). The optimal surgical approach to complicated forms of colorectal cancer of the left colon and rectum remains controversial especially when the patients underwent emergency surgery. Recently there has been a trend towards resection and anastomosis in selected patients. In each patient it's mandatory to make a precise and individual choice of the extend of the operative intervention, consistent with the patient's general condition and contributing to eliminate the life-endangering underlying cause. It must be realized by means of one-stage surgery when it's possible. Authors represent their personal experience with resolve of these actual problems.
authors.forename: N
authors.initials: N
authors.lastname: Iarŭmov
authors.forename: B
authors.initials: B
authors.lastname: Stefanov
authors.forename: N
authors.initials: N
authors.lastname: Gachev
authors.forename: R
authors.initials: R
authors.lastname: Evtimov
mesh_terms: D003110:Colonic Neoplasms / Q000150:complications / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004630:Emergencies; D006801:Humans; D011183:Postoperative Complications; D012004:Rectal Neoplasms / Q000150:complications / Q000601:surgery*