Colorectal cancer complicated by perforation. Specific features of surgical tactics
https://doi.org/10.17650/2220-3478-2015-5-4-38-41
Abstract
Objective: to assess the immediate results of surgical interventions for colorectal cancer complicated by perforation.
Materials and methods. The immediate results of surgical treatment were retrospectively analyzed in 56 patients with colorectal cancer complicated by perforated colon cancer, who had been treated at Smolensk surgical hospitals in 2001 to 2013. Patients with diastatic perforation of the colon in the presence of decompensated obturation intestinal obstruction of tumor genesis were not included into this investigation.
Results. The immediate results of uni- and multistage surgical interventions were analyzed in relation to the extent of peritonitis and the stage of colon cancer. More satisfactory immediate results were observed after multistage surgical treatment. Following these interventions, a fatal outcome of disseminated peritonitis in the presence of performed colorectal cancer was recorded in 8 (53.3 %) cases whereas after symptomatic surgery there were 11 (67.8 %) deaths. A fatal outcome was noted in 1 case (7.7 %) after multistage surgery.
Discussion. The results of surgical treatment in the patients with perforated colorectal cancer are directly related to the degree of peritonitis and the choice of surgical tactics.
About the Author
S. N. Shchaeva
Smolensk State Medical University at the Ministry of Health of Russia
Russian Federation
28 Krupskaya St., Smolensk, 214019
Russian Federation
28 Krupskaya St., Smolensk, 214019
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