ABSTRACT
The results of treatment of 1652 patients, operated for proximal cancer recti, were presented. Resectability had constituted (84.0 +/- 0.9)%. In (95.7 +/- 0.5)% patients a primarily-restoration operations were accomplished. In (76.0 +/- 1.1)% patients the standard operations were performed, in (8.9 +/- 0.8)%--the extended operations, in (11.5 +/- 0.9)%--combined and in (5.5 +/- 0.6)%--simultant. All the patients after the simultant operations performance had survived. Eligibility of application of the operation methods, technical manipulations and devices, elaborated in the clinic, for the treatment of this group of patients was proved.
Subject(s)
Adenocarcinoma/surgery , Digestive System Surgical Procedures/methods , Rectal Neoplasms/surgery , Adenocarcinoma/mortality , Adenocarcinoma/pathology , Digestive System Surgical Procedures/mortality , Disease-Free Survival , Female , Humans , Male , Middle Aged , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Rectal Neoplasms/mortality , Rectal Neoplasms/pathologyABSTRACT
The results of surgical treatment, performed in 1986-2005 in 1690 patients, suffering proximal rectum cancer, were studied. Resectability had constituted 84.3%. Primarily-restoration operations were performed in 95.9% patients. Of 1425 patients in 85.6%--radical operations were performed, in 14.4%--palliative and in 11.6%--combined. Intraoperative complications had occurred in 7.6% patients and postoperative--in 15.3%. Anastomotic sutures insufficiency was noted in 1.8% patients. Postoperative lethality had constituted 4.2%.
Subject(s)
Adenocarcinoma/surgery , Digestive System Surgical Procedures/adverse effects , Rectal Neoplasms/surgery , Adenocarcinoma/epidemiology , Adenocarcinoma/pathology , Adult , Aged , Aged, 80 and over , Anastomosis, Surgical , Digestive System Surgical Procedures/methods , Digestive System Surgical Procedures/mortality , Female , Humans , Intraoperative Complications/epidemiology , Intraoperative Complications/etiology , Male , Middle Aged , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Rectal Neoplasms/epidemiology , Rectal Neoplasms/pathology , Treatment Outcome , Young AdultSubject(s)
Digestive System Surgical Procedures , Intestine, Large/surgery , Postoperative Complications , Suture Techniques , Wound Healing , Anastomosis, Surgical/methods , Anastomosis, Surgical/standards , Anastomosis, Surgical/statistics & numerical data , Digestive System Surgical Procedures/methods , Digestive System Surgical Procedures/standards , Digestive System Surgical Procedures/statistics & numerical data , Humans , Postoperative Complications/epidemiology , Postoperative Complications/prevention & control , Suture Techniques/standardsABSTRACT
There are presented the results of surgical treatment of 447 patients. suffering gastric cancer, in whom gastrectomy was performed. Esophago-initestinal anastomosis was performed according to method of G. V. Bondahr. Interintestinal anastomosis (IIA) was formed using traditional Braun method and also was applied the longitudinal-transversal method, elaborated in the clinic. Usage of the method proposed did not worsen the immediate and late results, but have promoted significant improvement of the gastrectomy functional results. The method application secures the trustworthy lowering of the postgastrectomy complications rate while performing gastrectomy (dumping syndrome, reflux-esophagitis, the adduced loop syndrome) comparing with such, using Braun IIA--accordingly 30.5 and 52.8% (P = 0.016); fair, good and excellent the patients quality of life--accordingly in 67.8 and 47.2% (P = 0.024). The elaborated procedure of the IIA formation constitutes the method of choice while performing gastrectomy.
Subject(s)
Anastomosis, Surgical/methods , Gastrectomy/methods , Postgastrectomy Syndromes/prevention & control , Stomach Neoplasms/surgery , Humans , Middle Aged , Postgastrectomy Syndromes/epidemiology , Quality of Life , Stomach Neoplasms/epidemiologyABSTRACT
Endolymphatic way of the medicinal preparations administration promotes their more effective influence on pathological focus. The experience of conduction of more then 15,000 of the lymphatic vessels catheterization manipulations was summarized, permitting to perform the treatment of patients successfully.
Subject(s)
Catheterization/methods , Lymphatic System/surgery , Humans , Retrospective StudiesABSTRACT
Experience of reoperative radical combined colonic resection for colonic cancer in 9 patients was presented. There were no complications, nor mortality. The preoperative radiation therapy and chemotherapy conduction had permitted to create an optimal conditions for the surgical intervention performance, which promoted the patients life span increase and improved its quality significantly.
Subject(s)
Colonic Neoplasms/surgery , Colonoscopy/methods , Humans , Neoplasm Recurrence, Local , Time FactorsABSTRACT
The results of treatment of 5 patients with colonic melanoma are presented. Fine-needle biopsy was used for morphological verification diagnosis. It was established that the patients with colonic melanoma are hospitalized in specialized department, as a rule, with nonopertable tumor. In 1 patient explorative laparotomy was done. Conduction of radical operative intervention was impossible because of presence of multiple metastases in liver. In 4 patients conservative treatment was performed. It was not possible to perform radical operation because of the process spreading. The patients life span after conduction of conservative therapy have constituted 14.5 mo at average.
Subject(s)
Colonic Neoplasms/surgery , Intestine, Large/surgery , Melanoma/surgery , Female , Humans , Male , Middle AgedABSTRACT
The intestinal continuity restoration after performance of Hartmann's operation in presence of long rectal stump was done using the method of the duplicature anastomosis formation, which was elaborated in the clinic. The frequency of postoperative complications occurrence was 9.8%: In presence of short rectal stump the colon was descended on perineum via submucosal tunnel in rectal stump according to the method, which was elaborated in the clinic. The frequency of the postoperative complications occurrence was 16.7%. The data presented trusts the expediency of application of the methods elaborated in the clinic for restoration of intestinal continuity after performance of Hartmann's operation in presence of long and short rectal stumps.
Subject(s)
Colon/surgery , Colonoscopy/methods , Aged , HumansABSTRACT
The method of double-barrelled (split) colostomy closure after performance of Miculicz operation, including extraperitoneal formation of the invagination duplicatural anastomosis, was proposed. After application of the proposed method in 21 patients the complications occurred in 2, including 1 case of the anastomotic sutures insufficiency.
Subject(s)
Anastomosis, Surgical/methods , Adult , Aged , Colostomy/methods , Female , Humans , Male , Middle Aged , Postoperative Complications/epidemiologyABSTRACT
The results of surgical treatment of 193 patients with upper- and middle ampullar cancer recti, to whom the abdominal supra-anal rectal resection was performed, were summarized. The operation procedure performance was depicted. There were no intraoperative complications. Postoperative complications had occurred in 19 (9.8%) of patients, 3 (1.6%) died. Necrosis of the descended intestine was not noted. The anal sphincter function had restored in 1 mo after performance of operative intervention.
Subject(s)
Abdomen/surgery , Rectal Neoplasms/surgery , Surgical Procedures, Operative/methods , Female , Humans , Male , Middle AgedABSTRACT
In 1970-1997 period 43 patients with cancer recti, invading bladder, were operated on. The base of surgical tactics was performance of primarily-restorational operation as independent procedure and in the complex of treatment as well. There was noted the fair immediate and late follow-up result of treatment.
Subject(s)
Rectal Neoplasms/surgery , Urinary Bladder Neoplasms/surgery , Adult , Aged , Female , Humans , Male , Middle AgedABSTRACT
The methods of the transplant formation in the loose type of the sigmoyd colon blood supply and insufficiency of the over vessel, applied in patients during sphincter-preserving operation performance for cancer recti, was proposed. Satisfactory immediate and late follow up result was noted.
Subject(s)
Colon, Sigmoid/blood supply , Colon, Sigmoid/transplantation , Perineum/surgery , Rectal Neoplasms/surgery , Salvage Therapy/methods , Adult , Aged , Female , Humans , Male , Middle AgedABSTRACT
The experience of restorational intervention with formation of duplicature (invagination) anastomosis after Hartmann's operation in 45 patients with complicated cancer recti and colonic cancer was summarized. Complications had occurred in 9.8% of observations, one patient died.
Subject(s)
Colon/surgery , Intestinal Obstruction/surgery , Anastomosis, Surgical , Colonic Neoplasms/complications , Humans , Intestinal Obstruction/etiologyABSTRACT
The method of inversive excision of colostomy, securing access to noninflamed tissues of intestine and pericolostomic region for consequent suturing made in accordance to requirements. While using the method purulent-inflammatory complications had occurred in less than 5% of patients and insufficiency of anastomotic sutures--in 3.4%.
Subject(s)
Colonic Neoplasms/surgery , Colostomy/methods , Adult , Aged , Humans , Middle Aged , Time FactorsABSTRACT
The results of treatment of 364 patients with colonic cancer, complicated by ileus. In 165 patients with partial ileus the radical operative interventions were performed, palliative--in 61 and symptomatic--in 83; with complete ileus--in 30.9 and 16 patients accordingly. Application of the interintestinal anastomoses formation methods, elaborated in the clinic, had permitted to perform primarily-restorational operations in 81.9% of patients with partial ileus and in 61.5%--with complete one, obtaining satisfactory immediate results. Insufficiency of the duplicature anastomosis sutures had occurred in 5 (2.2%) of colonic cancer patients, suffering partial ileus.
Subject(s)
Colonic Neoplasms/complications , Colonic Neoplasms/surgery , Digestive System Surgical Procedures/methods , Intestinal Obstruction/etiology , Colonic Neoplasms/pathology , HumansABSTRACT
There were operated 331 patients with cancer of rectum, complicated by ileus. Radical operation was performed in 168 patients, palliative--in 57, symptomatic--in 106. Possibility of widening of evidences for performance of primary-restorational, sphincter-preservational operations was proved.
Subject(s)
Colonic Neoplasms/complications , Colonic Neoplasms/surgery , Intestinal Obstruction/etiology , Intestine, Large/surgery , Colonic Neoplasms/pathology , Colonoscopy/methods , Humans , Intestinal Obstruction/surgery , Intestine, Large/pathology , Salvage Therapy/methodsABSTRACT
The existing methods of prophylaxis of the anastomosis sutures insufficiency (ASI) in surgical treatment of complicated colonic cancer (CC) were considered. High safety of the invagination anastomosis formation method, elaborated in the clinic, was shown. It was used in surgical intervention with primary restoration of intestinal continuity, which was performed in 379 patients with complicated CC. Postoperative complications had occurred in 89 (23.5%) patients, 35 (9.2%) of them died. Purulent-septic complications dominated in structure of postoperative complications, the ASI was noted in 4 (1.1%) patients.
Subject(s)
Colonic Neoplasms/surgery , Digestive System Surgical Procedures/methods , Intestine, Large/surgery , Postoperative Complications/prevention & control , Anastomosis, Surgical/methods , HumansABSTRACT
Optimal tactic for management of the patients on various stages of treatment was elaborated together with surgical procedure, basing on the experience of 3500 operations conduction for cancer recti, mainly abdominal resection with colon descendant to perineum. Methods of preoperative preparation and anesthesiological support were stated as well as the tactics of postoperative management of patients.