[Surgical tactics of obturative large bowel tumor obstruction].

Results of Hartmann operation performed on tumor left colon part obturation in general hospitals. Results of 117 patients' treatment were analysed. The local tumor recurrence was registered in 17 (14,5%) cases, mean time between initial and reconstructive operations was 7,2 months. Results of 61 patients for whom the two-step treatment scheme (decompressive colostomy followed by the radical tumor resection and a simultaneous stoma closure) was used, are analyzed. Lethality rate was 1,6%. Second operation was performed in 58 patients in the mean time of 18,3 days after colostomy. 7 (12,1%) patients had early postoperative complications. Authors conclude that a two-step treatment protocol has advantages of higher radicality and the quality of life improvement.