PP 112. The Treatment of the Patients with Locally Advanced Cancer of the Left Side of the Colon, Complicated by Acute Intestine Obstruction

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V. Totikov, Z. Totikov

17:12 - 17:18h at Margrit Room

Categories: Emergency Surgery, Poster Session

Session: Poster II (P3) - Emergency / Thoracic Surgery

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Background
In recent years, cancer of the colon is one of the top places in the structure of cancer morbidity. Increases the number of common and complicated forms of disease that makes the problem of treating such patients.The purpose of this study was to improve the results of treatment of the patients with locally advanced cancer of the left side of the colon, complicated by the intestine obstruction.

Material and Methods
118 patients have been examined.

Result
The 1 stage was revealed in 33 (27,0%) patients, the 2 stage in 51 (41,8%), the 3 stage in 24 (19,7%) and the 4 stage in 14 (11,5%). The patients of the 1 stage were operated on during 7-10 days after the resolution of obstruction. The patients of the 2 stage were operated on during 12-24 hours, of the 3 – during 6-12 hours, The patients of the 4 stage were operated on during 2-3 hours after the necessary preoperative examination. In 44 (37,3%) cases the radical stage was supplemented by intra-operative intra-abdominal chemotherapy and early postoperative chemotherapy. Lethality – 5.1% (6 patients). Postoperative complications - 20,3%.

Conclusion
The suggested classification of obturative dysfunction of the colon, and the algorithm of treatment and diagnostics gives us the possibility to optimize the duration of preoperative preparation and the extent of the following intervention, so we can also create conditions for combined ways of treatment.