Tetdoev A M, Poliakov A V
Khirurgiia (Mosk). 1990 Apr(4):64-7.
Operations were carried out on 128 patients with cancer of the colon complicated by the intestinal obstruction. In right localization of the tumor, 25 patients were subjected to one-stage hemicolectomy, ileotransversoanastomosis was established in 6 patients. In left localization, the tumor was removed with the formation of colostomy in 54 patients, double-barrel colostomy or by-pass intestinal anastomosis were created in 36 patients. Among 63 patients with stage III carcinoma in whom obstruction was relieved and the tumor removed simultaneously, 6 died in the postoperative period. There were no fatal outcomes of two-stage radical operations conducted on 9 patients. A total of 33 (25.8%) patients died in the postoperative period. On the basis of the obtained results, the authors consider treatment of intestinal obstruction by removal of the tumor justified.
对128例结肠癌合并肠梗阻患者进行了手术。肿瘤位于右侧时，25例患者接受了一期半结肠切除术，6例患者进行了回肠横结肠吻合术。肿瘤位于左侧时，54例患者切除肿瘤并形成结肠造口术，36例患者进行了双腔结肠造口术或旁路肠吻合术。在63例III期癌患者中，梗阻得到缓解且肿瘤同时被切除，其中6例在术后死亡。对9例患者进行的二期根治性手术无致命结果。术后共有33例（25.8%）患者死亡。根据所获得的结果，作者认为通过切除肿瘤治疗肠梗阻是合理的。
