[On the strategy of operative treatment for obturative colonic obstruction of malignant genesis]

Abstract

The authors have analyzed results of the Hartmann operation performed in 119 patients with malignant obturative obstruction of the left half of the colon at hospitals of general profile. A local relapse of cancer was found in 18 (15.1%) of patients, mean time between the primary and restorative operations was 7.4 months. The results of treatment were analyzed in 62 patients in whom the strategy of treatment of malignant colonic obstruction was used with the formation of the decompressive colostomy at the first stage, and radical extraction of the tumor with simultaneous removal of the stoma at the second stage. Lethality was 1.6%. Reoperations were fulfilled in 59 patients within on average 18.4 days after the first one. Early postoperative complications were found in 7 (11.9%) patients. A conclusion was made that such strategy is superior for higher efficacy of treatment and gives better quality of life of the patients.