RESUMO
Results of treatment of 28 patients with locally advanced rectal cancer are analyzed. Abdomino-perineal extirpation of the rectum with colostomy was performed in 11 patients, abdomino-anal resection with colo-anal anastomosis--in 10, Hartmann's operation--in 7. In 18 cases resection of the posterior wall of the urinary bladder was performed simultaneously, in 3--resection of the ureter with allotransplantation, in 5--supravaginal amputation of the uterus. Eleven patients survive one year after surgery. General status evaluated with Karnovsky's scale was 80-90% in 5 patients, 60%--in 4, and 40% in 2 patients. Seven patients survive three years after surgery. Karnovsky's scale index was 80% in 3 patients of them, 60%--in 3, and 30%--in 1 patient. Four patients survive 5 years with 60% (3 patients) and 40% (1 patient) general status index. It is recommended to perform combined surgeries for rectal cancer in invasion of the tumor into neighbouring organs. They don't make worse immediate results of treatment and relieve patients of complications due to spread of rectal cancer into the urinary organs.
