PP 113. Treatment of the Patients with Locally Advanced Cancer of the Colon, Complicated with the Bowel Obstruction

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V. Totikov, Z. Totikov

17:18 - 17:24h at Margrit Room

Categories: Emergency Surgery, Poster Session

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

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Background
The purpose of this study was to improve the treatment results of the patients with locally advanced cancer of colon complicated with the bowel obstruction.

Material and Methods
122 patients have been examined. We define 4 stages in the clinical course of obstruction.

Result
The combined resection was performed to 84.1% of the patients, the salvage procedure – to 5.9% ofthe patients. The resection performed to the patients with the 1 stage of obstruction resulted in anastomosis formation. The patients with 2 and 3 stages of obstruction in bad condition, with tumour located right at the 1 step of the operation there were performed 6 (4.9%) ileostomies, those with tumour located left were performed 12 (9.9%) transversed colostomies via mini excess. To the patients with the 2 and 3 stages of obstruction with low anesthesia risk and with the tumour located distal part of sigmoid colon there were formed transversed colostomies. Postoperative complications occurred to 21.2%. Lethality – 8.3%.

Conclusion
The suggested tactics allows us to increase the quantity of radically operated patients and decrease lethality. The transversed colostomies via mini excess applied to the patients with the cancer of distal part of sigmoid colon and with low anesthesia risk allows us to decline Hartmann's operation and avoid hard reconstructing and recovering stages.