RESUMO
To diagnose recurrent colorectal cancer is an urgent problem of oncoproctology. Eighty patients with suspected recurrent colon tumor were examined. All the patients underwent irrigoscopy, colonoscopy, magnetic resonance imaging of the abdomen and small pelvis. The major magnetic resonance symptoms of recurrent colon tumors were studied; a differential diagnosis of recurrent processes and postoperative changes at the site of intervention was made.
Assuntos
Neoplasias Colorretais/diagnóstico , Imageamento por Ressonância Magnética/métodos , Recidiva Local de Neoplasia/diagnóstico , Complicações Pós-Operatórias/diagnóstico , Adulto , Idoso , Colo/patologia , Colo/cirurgia , Neoplasias Colorretais/patologia , Neoplasias Colorretais/cirurgia , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reto/patologia , Reto/cirurgia , Reprodutibilidade dos TestesRESUMO
The article includes experience with treatment of 103 patients with the formed different large intestine anastomoses. Primary operations for cancer of the rectum were made on 76 patients, restorative operations--on 27 patients. The following techniques were used: manual formation of the large intestine anastomosis, apparatus anastomoses using AKA-2, "ETHICON CDH" and double apparatuses method using "CONTOUR" and "ETHICON CDH". It was found that the application of stitching apparatuses required shorter time necessary for applying large intestine anastomosis and for operation. When forming the large intestine anastomoses in the abdominal cavity the manual method should be preferred. The formation of anastomosis in the small pelvis cavity is accompanied by technical problems and requires using stitching apparatuses. The method using apparatuses "CONTOUR" and "ETHICON CDH" decreases the number of postoperative complications and can extend the list of indications for performing sphincter-sparing operations.
