[The influence of strategy of treatment of obturation colonic tumor obstruction on short-term results and quality of life of patients].

The results of treatment of 120 patients with colonic tumor obstruction, included in the main group, with the formation at the first stage of decompressive double-barrel colostomy were analyzed as well as resection of the colon with ablation of the tumor and simultaneous liquidation of the stoma on the second stage. The overall postoperative lethality was 1.6%. Operations of the second stage were made in 96.7% of the patients. The interval between operations was 18.3 days. The control group consisted of 182 patients with Hartmann operations fulfilled at the first stage and liquidation of the double-barrel colostomy at the second stage. Postoperative lethality was 9.9%. Restorative operation was made in 83.5% of patients. The average term of colostomy was 196.3 days. A comparative assessment of quality of life of the patients fulfilled with the MOS SF-36 questionnaire demonstrated better results in the main group of the patients.