[Operability and late results of treating recurrences and metachronous malignant tumors of the large intestine]. / Operabel'nost' i otdalennye rezul'taty lecheniia retsidivov i metakhronnykh zlokachestvennykh opukholei tolstoi kishki.

The analysis of the authors' observations has proved that the surgery in case of the recurrence of cancer of the rectum and colon is a quite justified method of treatment (the average survival period is about 2.5 years). But according to the authors' data, the operability and late results in the treatment of primary multiple metachronal cancer of the colon are higher than in case of the recurrence of cancer and practically do not differ from the operability and late results in solitary cancer (59.1% of cases survived more than 5 years). The authors have come to the conclusion that in such cases the differential diagnosis is a very important prognostic criterium.

[Cesostoma in tumors of the large intestine and a method for its closure]. / Tsekostoma pri opukholiakh tolstoi kishki i metod ee zakrytiia.

Cecostomy is found to prevent effectively suture incompetency of entero-entero-anastomosis in intraabdominal resections in the large intestine in obese patients suffering diabetes and also in aged patients. The method of closing the cecostoma described may be also recommended for elimination of parietal fistulas constructed in other portions of the large intestine. Taking into account a simple technic of closure, using mechanic suture, the availability of suturing apparatuses in many hospitals, it may be recommended for a wide practical use.

[Results of treating the late complications of patients radically operated on for rectal cancer]. / Rezul'taty lecheniia pozdnikh oslozhnenii radikal'nogo operirovannykh bol'nykh rakom priamoi kishki.

Based on the study of the causes of rehospitalization of 323 patients. Previously operated upon for rectal cancer, it was found that 91 patients developed late postoperative complications, 96 - recurrences, 45 - distant metastases and 51 - metachronous tumors. Among surgical complications colostome strictures in the anal region (37), mucosa prolapse (26) and paracolonic fistulas (23) were most frequently observed. The analysis of treatment for tumor recurrences (96) and distant metastases (45) indicated that surgical excision seems to be mostly effective as a radical procedure. The effect of electrocoagulation in recurrences is somewhate inferior to surgery but still it is appreciable enough. The use of irradiation, chemotherapy, palliative operations fails to produce any appreciable effect on patients' lifeterms.

[Methods of coloplasty following rectal and sigmoid resection using Gartmann's technic]. / Metody koloplastiki posle rezektsii priamoi i sigmovidnoi kishok po Gartmanu.

According to the authors' data, a repeated surgical intervention, aimed at the restoration of normal passage of the intestinal contents, is possible after the Gartmann's operation. 10 to 12 months should be considered as an optimal interval between the first and second operations. The authors believe that coloplasty associated with end-to-end anastomosis (when the rectal stump is long enough) - a modification of Soavé and Duhamel coloplasty (in case of a short rectal stump) - is a method of choice. The results of Bondar's operation are not so good.

[Complex diagnosis of early forms of cancer of the large intestine]. / Kompleksnaia diagnostika rannikh form raka tolstoi kishki

The complex diagnosis of early forms of cancer of the large intestine should comprise the knowledge of the clinical picture, analysis of the disease, the results of rectoromanoscopy, irrogoscopy, colonofibroscopy, and cytological diagnosis. The use of the mentioned technics would help to improve the diagnosis of early forms of colonic cancer.

[Primary suture of perineal wound after extirpation of the rectum in rectal cancer]. / Pervichnyi shov rany promezhnosti posle ekstirpatsii priamoi kishki po povodu raka

A comparative estimation of a hermetic suture of the perineal wound in 53 patients and its tight tamponade in 68 patients after extirpation of the rectum for cancer is given. Primary suture may and should be employed during this operative procedure in the absence of diffuse bleeding from the lesser pelvis walls and a damage of the intestine. Hermetic suture of the wound shows some outright advantages: the possibility for patients' rising from bed in earlier terms prevents the occurrence of complications and contributes to shortening of the postoperative period.

[Results of intensive combination treatment of patients with cancer of the rectum]. / Rezul'taty kontsentrirovannogo kombinirovannogo lecheniia bol'nykh rakom priamoi kishki.

A comparative analysis of the results of treatment of two groups of patients with carcinoma of the rectum was made for a 6-year period of observation. One group (91 patients) was subjected to the intensive combined radiotherapy. In the preoperative period they received 3000 rad with supervoltage source, 600 rad daily during 9 days. Operations were performed 5-10 days following the irradiation. Surgery alone was performed in the second control group (132 patients). The intensive combined therapy allows a survival to be improved by 15.4% during six years of observation (indices were standardized by sex, age and prognosis). In a group of patients with poor prognosis the combined treatment ameliorated the results by 29% (indices are standardized by sex and age). It is believed that the intensive combined treatment for rectal cancer should be recommended for the health protection practice.