[The choice of optimal operative intervention in patients, suffering an acute tumoral impassability of large intestine].
The results of treatment of 101 patients, suffering an acute ileus (AI), caused by colonic cancer, were presented. The operation was performed in 88 patients for AI in subcompensated and decompensated stages. Right-sided hemicolectomy with ileotransversoanastomosis formation was done for right-sided localization of the tumor in a subcompensated stage. The outloading end colostomy was done after tumoral excision and ileotransversoanastomosis formation accomplishment in patients, suffering AI in a decompensated stage with purulent peritonitis. Obstructive large-bowel resection was performed for left-sided colonic cancer with AI in a decompensated stage, and for subcompensated stage--a left-sided hemicolectomy with Y-type anastomosis was done. Postoperative complications rate have constituted 27.3% and lethality--12.5%.
I V
IV
Ioffe
A V
AV
Alekseev
A V
AV
Pepenin
V I
VI
Zhadanov
R V
RV
Lisovoĭ
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D003110:Colonic Neoplasms / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D045823:Ileus / Q000473:pathology* / Q000601:surgery*; D007420:Intestine, Large / Q000601:surgery*; D008297:Male; D008875:Middle Aged