ABSTRACT
Experience in surgical treatment of 290 patients with carcinoma of the large intestine following a complicated course shows that primary restoration of the intestinal continuity is possible. In this event, the allowable operative risk with consideration for the pronounced character of the pathological process must be analysed, and adequate anesthiological and resuscitation services must be provided. It is advisable that such operations are performed in specialized surgical institutions.
Subject(s)
Colonic Neoplasms/surgery , Gastrointestinal Hemorrhage/surgery , Intestinal Obstruction/surgery , Rectal Neoplasms/surgery , Colonic Neoplasms/complications , Colonic Neoplasms/pathology , Female , Gastrointestinal Hemorrhage/etiology , Humans , Intestinal Obstruction/etiology , Male , Middle Aged , Neoplasm Invasiveness , Rectal Neoplasms/complications , Rectal Neoplasms/pathology , Risk Factors , Rupture, Spontaneous , Surgical Procedures, Operative/methods , Treatment OutcomeABSTRACT
The intraabdominal anastomoses are thought to be expedient in performing restorative operations when the excluded rectum is longer than 10 cm. When the rectum stump is shorter than 10 cm the extra-abdominal colorectal and coloanal anastomoses are expedient with the descending of the colon on the lateral pelvic wall without a mobilization of the rectum stump. The reconstructive-restorative operations should be performed at proctological and surgical departments.
