[Selection of surgical tactics in colonic obstruction]. / Vybor khirurgicheskoi taktiki pri obturatsionnoi tolstokishechnoi neprokhodimosti.
Khirurgiia (Mosk)
; (8): 45-8, 2000.
Article
em Ru
| MEDLINE
| ID: mdl-10997006
ABSTRACT
From 1989 to 1996, 322 patients with colonic obstruction due to tumors underwent surgery in Surgical clinic No 1 of the Ural National Medical Academy. Specimens of 283 tumors removed at surgery (n = 213) or autopsy (n = 70) were examined in 322 patients. Complications were observed after 144 operations (44.7%); in 82 cases they were fatal (25.5% postoperative mortality). Postmortem examination was performed in 70 cases of 82 (85.37%). Histological examination of the 283 specimens of the resected prestenotic colon wall provided a histological classification of colonic wall insufficiency by identifying its compensation, subcompensation and decompensation stages. For possible prediction of a high risk for death in each specific case, a correlation analysis of 23 factors presumably influencing on outcomes was carried out. A decisive rule of prediction was formulated.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças do Colo
/
Obstrução Intestinal
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Ru
Revista:
Khirurgiia (Mosk)
Ano de publicação:
2000
Tipo de documento:
Article