Abstract
Objective: to assess the immediate results of surgical interventions for colorectal cancer complicated by perforation. Materials and methods. The immediate results of surgical treatment were retrospectively analyzed in 56 patients with colorectal cancer complicated by perforated colon cancer, who had been treated at Smolensk surgical hospitals in 2001 to 2013. Patients with diastatic perforation of the colon in the presence of decompensated obturation intestinal obstruction of tumor genesis were not included into this investigation. Results. The immediate results of uni- and multistage surgical interventions were analyzed in relation to the extent of peritonitis and the stage of colon cancer. More satisfactory immediate results were observed after multistage surgical treatment. Following these interventions, a fatal outcome of disseminated peritonitis in the presence of performed colorectal cancer was recorded in 8 (53.3 %) cases whereas after symptomatic surgery there were 11 (67.8 %) deaths. A fatal outcome was noted in 1 case (7.7 %) after multistage surgery. Discussion. The results of surgical treatment in the patients with perforated colorectal cancer are directly related to the degree of peritonitis and the choice of surgical tactics.
Highlights
Цель исследования – оценить непосредственные результаты оперативных вмешательств при колоректальном раке, осложнен ном перфорацией
Objective: to assess the immediate results of surgical interventions for colorectal cancer complicated by perforation
The immediate results of surgical treatment were retrospectively analyzed in 56 patients with colorectal cancer complicated by perforated colon cancer, who had been treated at Smolensk surgical hospitals in 2001 to 2013
Summary
Цель исследования – оценить непосредственные результаты оперативных вмешательств при колоректальном раке, осложнен ном перфорацией. Проанализированы непосредственные результаты одно- и многоэтапных хирургических вмешательств в зависи мости от распространенности перитонита и стадии злокачественного новообразования толстой кишки. Результаты оперативного лечения больных с перфорацией колоректального рака находятся в непосредственной зависимости от выраженности перитонита и выбора хирургической тактики. More satisfactory immediate results were observed after multistage surgical treatment Following these interven tions, a fatal outcome of disseminated peritonitis in the presence of performed colorectal cancer was recorded in 8 (53.3 %) cases whereas after symptomatic surgery there were 11 (67.8 %) deaths. Данное пе выраженность интраоперационных изменений осложнение чаще развивается при локализации злока- была меньшей и ограничивалась зоной злокачественчественного новообразования в левой половине ободоч- ного новообразования (подвижной или ограниченно ной кишки (75–82 %) [4, 6, 8], и его возникновение яв- подвижной) с перфорацией кишечной стенки, налеляется показанием к экстренной операции.
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