[Surgical tactics of obturative large bowel tumor obstruction].
Results of Hartmann operation performed on tumor left colon part obturation in general hospitals. Results of 117 patients' treatment were analysed. The local tumor recurrence was registered in 17 (14,5%) cases, mean time between initial and reconstructive operations was 7,2 months. Results of 61 patients for whom the two-step treatment scheme (decompressive colostomy followed by the radical tumor resection and a simultaneous stoma closure) was used, are analyzed. Lethality rate was 1,6%. Second operation was performed in 58 patients in the mean time of 18,3 days after colostomy. 7 (12,1%) patients had early postoperative complications. Authors conclude that a two-step treatment protocol has advantages of higher radicality and the quality of life improvement.
Pomazkin
V I
VI
Mansurov
Iu V
IuV
D003082:Colectomy / Q000379:methods*; D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D003110:Colonic Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003125:Colostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011788:Quality of Life; D011860:Radiography, Abdominal; D012189:Retrospective Studies; D016896:Treatment Outcome