Aliev S A
Khirurgiia (Mosk). 1999(11):26-30.
The results of operative treatment of 242 patients aged from 30 to 85 years with complicated cancer of the sygmoid colon have been analyzed. It is shown that in the choice of the method for surgical intervention essential are the character of complications, peculiarities of tumor growth, as well as the stage of the disease and general condition of the patient. The removal of the tumor followed by forming of decompression colostomy, without restoration of bowel continuity results in achievement of better initial results. Resection of the tumor with one stage placement of the anastomosis is advisable as an elective procedure, after elimination of acute symptoms of complications and substantial preoperative preparation. The application of U-shaped terminolateral anastomosis allows to form a primary colonic anastomosis in acute bowel obstruction due to the tumor of the sygmoid colon.
对242例年龄在30至85岁之间患有乙状结肠复杂癌的患者的手术治疗结果进行了分析。结果表明，在选择手术干预方法时，并发症的性质、肿瘤生长特点、疾病分期以及患者的一般状况至关重要。切除肿瘤后行减压结肠造口术，不恢复肠道连续性，可取得更好的初始效果。在消除并发症的急性症状并进行充分的术前准备后，一期吻合肿瘤切除术作为一种选择性手术是可取的。U形端侧吻合术的应用可在乙状结肠肿瘤导致急性肠梗阻时形成原发性结肠吻合口。
