title: [Complicated colorectal cancer--aspects of surgical tactics].
abstract: Over the period 2000-2011 (6th m) a total of 856 patients with complicated colorectal cancer are subjected to treatment in the Clinic of surgical diseases--Department of Surgery in University Hospital "Alexandrovska", Sofia. Obturation is the commonest form of complication--47 per cent, perforation within the tumor or diastasis noted in 74 cases (8.6 %), paratumor abscesses and infiltrates--in 7.6 per cent and rectohemorrhage--in 4.2 per cent. The therapeutic and operative approach, and the scope of surgery are dependent on a multitude of factors which should be given due consideration by the surgeon. In each patient presenting complicated colorectal carcinoma it is mandatory to make a precise and individual choice of the extent of operative intervention, consistent with the patient's general condition and contributing to eliminate the life-endangering underlying cause. Postoperative mortality in patients with complicated colorectal cancer is 17.1% whereas in radical operated patients without complicated cancer mortality is only 6.8%.
authors.forename: N
authors.initials: N
authors.lastname: Yaramov
authors.forename: M
authors.initials: M
authors.lastname: Sokolov
authors.forename: Sv
authors.initials: S
authors.lastname: Toshev
authors.forename: B
authors.initials: B
authors.lastname: Petrov
authors.forename: V
authors.initials: V
authors.lastname: Pavlov
mesh_terms: D003106:Colon / Q000473:pathology* / Q000601:surgery; D015179:Colorectal Neoplasms / Q000150:complications* / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology; D012007:Rectum / Q000473:pathology* / Q000601:surgery