Vazhenin A V, Makhan'kov D O, Sidel'nikov S Iu
Khirurgiia (Mosk). 2007(4):49-53.
Results of treatment of 150 patients with colorectal cancer complicated with obturation intestinal obstruction are analyzed. Rational health care organization has permitted to increase operability and respectability of tumor to 96 and 87% accordingly compared with 73 and 57.5% at control group. Primary anastomosis in study group was used at 68% patients, rate of insufficiency was 4%. Postoperative lethality in study group was 13%, in control group - 23%. Rate of postoperative complications was 21 and 36.5% accordingly. It is concluded that rational organizational approach permits to improve immediate results of treatment of these patients.
分析了150例结直肠癌合并闭袢性肠梗阻患者的治疗结果。合理的医疗保健组织使肿瘤的可切除性和根治性分别提高到96%和87%,而对照组分别为73%和57.5%。研究组68%的患者采用了一期吻合术,吻合口漏发生率为4%。研究组术后死亡率为13%,对照组为23%。术后并发症发生率分别为21%和36.5%。结论是,合理的组织方法有助于改善这些患者的近期治疗效果。