[The possibilities to improve the outcomes in patients with colon cancer complicated by acute obstruction]. / Lechenie bol'nykh rakom tolstoi kishki, oslozhnennym ostroi kishechnoi neprokhodimost'yu (s kommentariem).
Khirurgiia (Mosk)
; (3): 17-23, 2017.
Article
em Ru
| MEDLINE
| ID: mdl-28374709
ABSTRACT
AIM:
To improve the outcomes in patients with colon cancer complicated by acute obstruction via development of combined and complex treatment strategies. MATERIAL ANDMETHODS:
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.CONCLUSION:
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Procedimentos Cirúrgicos do Sistema Digestório
/
Neoplasias do Colo
/
Obstrução Intestinal
/
Doenças Metabólicas
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
Limite:
Aged
/
Female
/
Humans
/
Male
País/Região como assunto:
Asia
/
Europa
Idioma:
Ru
Revista:
Khirurgiia (Mosk)
Ano de publicação:
2017
Tipo de documento:
Article