title: [Surgical correction of the intraabdominal hypertension in patients with colon cancer].
abstract: The experience of treatment of 48 patients with colon cancer, complicated with bowe obstruction, colon perforation, abdominal sepsis and intraabdominal hypertension was analyzed. Men were 18, women - 30. Patients' age ranged 24-85 years. 31 patients (64.6%) had the 3rd stage (T4N2M0) of the disease by the time of the diagnosis. Tumor perforation was registered in 35 patients, the rest 13 had suprastenotic perforation. 39 patients developed SIRS and abdominal sepsis. The method of intraoperative "closed" colon decompression and intraluminar colon irrigation with the original modification of vacuum aspiration-irrigation device was introduced, as well as the modified method of end colostomy. Radical treatment was performed in 36 (78.3%) patients, 10 patients received palliative treatment and 2 patients could not be operated on. The postoperative lethality rate was 45.6%, the overall - 47.9%. The suggested method of colon decompression allowed to decrease the postoperative lethality rate from 47.7 to 45.6%, and the overall lethality rate from 50 to 47.9%.
authors.forename: S A
authors.initials: SA
authors.lastname: Aliev
mesh_terms: D000368:Aged; D003082:Colectomy / Q000379:methods / Q000401:mortality; D003106:Colon / Q000000981:diagnostic imaging / Q000293:injuries; D003110:Colonic Neoplasms / Q000150:complications* / Q000401:mortality / Q000473:pathology / Q000503:physiopathology; D003125:Colostomy / Q000379:methods; D019299:Decompression, Surgical / Q000295:instrumentation / Q000379:methods; D004867:Equipment Design; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology; D059325:Intra-Abdominal Hypertension / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010166:Palliative Care / Q000379:methods; D011859:Radiography; D015996:Survival Rate; D007507:Therapeutic Irrigation / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome