[Surgical treatment of colonic and rectal tumors]. / Opyt khirurgicheskogo lecheniia raka tolstoi i priamoi kishok.

The study included three groups of patients with rectal and colonic tumors operated on under emergency and routine conditions. The percentage of emergency operations proved rather high, surgery being performed under both hospital and field conditions. Causes for calls have been evaluated and extent of surgery versus operating conditions and immediate results in each group assessed. Operating under hospital conditions is recommended for carrying out procedures like that of Hartman involving obligatory removal of tumor and verification of diagnosis. Reconstructive surgery should be performed in specialized wards of a regional clinic. Higher expertise of rural surgeons as well as increased competence of general practitioners in oncopathology, timely inclusion of oncologists into on-call teams of doctors and hospitalization of patients into specialized wards contribute to higher effectiveness of treatment of bowel pathologies.

[Whole-body hyperthermia and hyperglycemia in the combined treatment of rectal cancer]. / Obshchaia gipertermiia i giperglikemiia pri kombinirovannom lechenii raka priamoi kishki.

The paper is concerned with the results of combined therapy of 210 rectal cancer patients (stage III1 using hyperthermia, hyperglycemia and monochemotherapy (5-FU), and 6 patients with metastatic liver cancer who received intraportal chemotherapy. A selective damaging effect of hyperglycemia on a tumor cell was revealed. The use of hyperglycemia-hyperthermia-chemotherapy in the preoperative period was substantiated, the 3-year survival of 69 patients who had received single sessions of hyperthermia-hyperglycemia-monochemotherapy, was 77%. Positive results of intraportal administration of 5-FU were noted in the patients with metastatic liver cancer.