[Measures of prevention of diffuse peritonitis after operations for colorectal cancer].

An experience with treatment of postoperative complications in patients with colorectal cancer in specialized and surgical hospitals and an analysis of results of treatment of patients with incompetent intestinal anastomoses depending on the surgical strategy have shown that reoperations for exclusion of the gut with the incompetent anastomosis with the first symptoms of a developing complication allows prevention of possible complication.

[Abdomino-anal resection of the rectum (indications, technique, immediate and long-term results)]. / Briushno-anal'naia rezektsiia priamoi kishki (pokazaniia, tekhnika, neposredstvennye i otdalennye rezul'taty).

Abdomino-anal resection of the rectum with the descending is not an alternative variant of the intra-abdonimal resection with suturing devices. Each of these methods has indications and contraindications. In treatment of rectum carcinoma the observation of oncological principles is thought to be principal. The abdomino-anal resection of the rectum with the descending gave best results when the tumor was localized at the level of 6-7 cm from the anus. The application of the proposed modification might reduce the number of complications and lethality.

[Intraoperative colonic sorption dialysis in colonic cancer complicated with colonic obstruction]. / Intraoperatsionnyi tolstokishechnyi sorbtsionnyi dializ pri rake tolstoi kishki, oslozhnennom tolstokishechnoi neprokhodimost'iu.

The data on treatment 84 patients with large bowel carcinoma aggravated by occlusion ileus are discussed. The study group included 49 patients who received intraoperative sorption dialysis of large bowel (ISDLB). Intraoperative lavage of large bowel (ILLB) was given to 35 patients who were in control. A significantly higher detoxication effect of ISDLB was recorded by hematological and biochemical index dynamics analysis. Lethality dropped to 6% in the group receiving ISDLB (11%). The latter patients spent 15 +/- 4 days in hospital as compared to 25 +/- 4 days in control. The postoperative complication rates were 14 and 29%, respectively. ISDLB should be indicated in complex therapy of bowel carcinoma aggravated by occlusion ileus because of its cleansing effect which significantly reduces end-genuous intoxication.