ACTUAL PROBLEMS OF EMERGENCY SURGERY OF COLORECTAL CANCER

Authors

  • B. O. MATVIYCHUK
  • О. В. MATVIYCHUK
  • M. T. FETSYCH

DOI:

https://doi.org/10.11603/2414-4533.2015.2.5225

Abstract

The article gives the retrospective analysis of treatment of 136 patients with complicated colon cancer, who underwent surgery in 2008–2014. The age of patients was within 36–94 years (average – (68.8±12.1)). In majority of patients, colorectal cancer was diagnosed in the hospital due to the development of complication – 117 (86 %). The dominant complication of colorectal cancer was the acute obstructive ileus – isolated, in 105 (77.2 %) patients; in combination with tumor perforation, peritonitis – in 24 (17.6 %); with intestinal bleeding – in 1 (0.8 %) case. Perforation of the tumor, peritonitis was stated in 3 (2.2 %) patients, acute intestinal bleeding – in 3 (2.2 %). In 81.1 % of cases, peritonitis had diffuse character. Radical surgery was performed in 68 (50 %) patients, palliative – in 18 (13.2 %), symptomatic – in 50 (36.8 %) patients. In accordance with the TNM classification, Ist stage was diagnosed in 0.7 % of operated, IInd – in 31 %, IIIrd and IVth – in 31.4 % and 37.0 % of patients respectively. Postoperative complications developed in 10 patients (7.3 %) and had mainly septic character. Tertiary peritonitis was found in 17 (12.5 %) of the operated. Relaparotomies were made in 21 patients (15.4 %), mainly due to peritonitis, colostoma retraction. Average hospital stay was 16.2±7.7. Twenty-three patients died, postoperative mortality – 16.9 %. Tertiary peritonitis resulted in death of 15 patients (88.2 %). The main cause of death was multiple organ failure as a manifestation of severe sepsis. The main aspects of the problem of complicated colon cancer, which require complex solution, are increased morbidity, delayed hospitalization, potentiated risk of venous thrombosis and embolism, tertiary peritonitis, improvement of professional oncological training of surgeons.

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Published

2015-11-13

How to Cite

MATVIYCHUK, B. O., MATVIYCHUK О. В., & FETSYCH, M. T. (2015). ACTUAL PROBLEMS OF EMERGENCY SURGERY OF COLORECTAL CANCER. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2). https://doi.org/10.11603/2414-4533.2015.2.5225

Issue

No. 2 (2015)

Section

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