title: [The possibilities to improve the outcomes in patients with colon cancer complicated by acute obstruction].
abstract: OBJECTIVE
  To improve the outcomes in patients with colon cancer complicated by acute obstruction via development of combined and complex treatment strategies.
  
  
  METHODS
  We observed 442 patients with colon cancer complicated with acute obstruction. Original classification and diagnostic algorithm were applied.
  
  
  RESULTS
  Time of preoperative opening-up, volume and type of surgery were defined using obtained data. Also we are able to perform delayed radical surgery after correction of metabolic disorders and comorbidities, to create the conditions for combined and complex methods of treatment, to decrease the incidence of postoperative complications and mortality rate.
  
  
  CONCLUSIONS
  Three-stage surgery with shortened time between interventions decreases the incidence of anastomosis failure, allows to refuse Hartmann's procedure and to avoid severe reconstructive surgical stage without prolongation of rehabilitation period.
authors.affiliation: North Ossetian State Medical Academy, Ministry of Health of the Russian Federation, Vladikavkaz.
authors.forename: Z V
authors.initials: ZV
authors.lastname: Totikov
authors.affiliation: North Ossetian State Medical Academy, Ministry of Health of the Russian Federation, Vladikavkaz.
authors.forename: V Z
authors.initials: VZ
authors.lastname: Totikov
mesh_terms: D000368:Aged; D003110:Colonic Neoplasms / Q000150:complications / Q000453:epidemiology / Q000473:pathology; D015897:Comorbidity; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000145:classification / Q000175:diagnosis / Q000209:etiology / Q000378:metabolism; D008297:Male; D008659:Metabolic Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D009367:Neoplasm Staging; D010043:Outcome and Process Assessment, Health Care; D019990:Perioperative Care / Q000379:methods / Q000592:standards; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000378:metabolism / Q000517:prevention & control; D058996:Quality Improvement; D012426:Russia / Q000453:epidemiology