[Surgical treatment of patients with colorectal cancer and severe concurrent cardio-vascular diseases].
The study population comprised 14 patients, operated on account of colon cancer (n=2), sigmoid cancer (n=1), rectal cancer (n=6), synchronous rectal and prostatic cancer (n=1) and lung (n=1) and liver (n=2) colon cancer metastases. The diagnosed concurrent cardiovascular pathology was: coronary heart disease (n=8), valve disease (n=2), aortic aneurism (n=2), coronary heart disease combined with aortic aneurism (n=2). Simultaneous operations were performed in 3 patients, 11 patients were operated on consecutively. No deaths were registered after simultaneous operations. In the group of consecutive operations 2 patients had died of myocardial infarction and cardiac decompensation. 3 (21,4%) patients died of tumor relapse during the follow-up period. The rest 9 patients are under observation for 3 months to 10 years, 2 patients achieved a 5-year cancer-free survival time.
Davydov
M I
MI
Gerasimov
S S
SS
Shestopalova
I M
IM
Barsukov
Iu A
IuA
Patiutko
Iu I
IuI
Akchurin
R S
RS
Bokeriia
L A
LA
Brand
Ia B
IaB
Arakelian
V S
VS
Dolgov
I M
IM
D000368:Aged; D002318:Cardiovascular Diseases / Q000150:complications* / Q000175:diagnosis; D015179:Colorectal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D018572:Disease-Free Survival; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome