[The surgical tactics in treatment of complicated colon cancer].
There were analyzed results of operations performed on 372 patients with complicated forms of colon cancer. The most frequent form was an acute intestinal obstipation. The optimal time of diagnostics and conservative treatment of those patients with signs of peritonitis considered to be no more than 6 hours from the exact time of hospitalization. In this period the optimal way is primary resection with intestinal reconstruction, or Hartman operation. In later periods of hospitalization staged procedures are used. A decompressive colostomy has been done as a first stage, followed by resection and colostomy closure as the second stage of the treatment. Conclusions are made about benefits of staged procedures in decreasing of lethality and increasing of life quality of the patients.
Chakvetadze
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BN
D003110:Colonic Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007420:Intestine, Large / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed