Аннотация:
MATERIAL AND METHODS: 154 patients with acute left-side colonic obstruction were enrolled. Patients were divided into 4 groups. In groups 1-3 (n=120) patients underwent surgery at the moment of colonic obstruction, in 34 patients obstruction was managed with transtumoral decompression followed by radical surgery. Self-expanding metallic stents (SEMS) were used in these patients. Radical and palliative procedures at the moment of colonic obstruction are associated with high rate of postoperative complications and mortality.RESULTS: Transtumoral decompression in malignant colonic obstruction resolves the main objectives of complicated colonic cancer management: absence of surgical trauma, endotracheal narcosis, reduced risk of abdominal infection, possible multidisciplinary assessment of patient's status and preparation for radical surgery.AIM: To prove an effectiveness of transtumoral decompression in patients with acute malignant left-sided colonic obstruction.Цель исследования ― доказ
Ключевые слова:
acute colonic obstruction; endoscopic decompression; transtumoral stenting
aged; colon tumor; colonoscopy; complication; decompression surgery; devices; epidemiology; female; human; intestine obstruction; male; middle aged; mortality; pathology; postoperative complication; procedures; retrospective study; Russian Federation; self expandable metallic stent; time to treatment; treatment outcome; Aged; Colonic Neoplasms; Colonoscopy; Decompression, Surgical; Female; Humans; Intestinal Obstruction; Male; Middle Aged; Postoperative Complications; Retrospective Studies; Russia; Self Expandable Metallic Stents; Time-to-Treatment; Treatment Outcome
Багдасаров В. В.
Багдасарова Е. А. Елена Анатольевна 1967-
Павлов П. В.
Карчевский Е. В. Евгений Викторович 1988-
Bagdasarov V. V.
Bagdasarova E. A. Elena Anatolyevna 1967-
Pavlov P. V.
Karchevskij E. V. Evgenij Viktorovich 1988-
Transtumoral decompression in acute left-sided colonic obstruction [Transtumoral'naia dekompressiia pri levostoronneĭ ostroĭ obturatsionnoĭ tolstokishechnoĭ neprokhodimosti]
Transtumoral decompression in acute left-sided colonic obstruction [Transtumoral'naia dekompressiia pri levostoronneĭ ostroĭ obturatsionnoĭ...
Текст визуальный непосредственный
Хирургия. Журнал им. Н.И. Пирогова
Издательство Медиа Сфера
Вып. 6 С. 22-29
2018
Статья
acute colonic obstruction endoscopic decompression transtumoral stenting
aged colon tumor colonoscopy complication decompression surgery devices epidemiology female human intestine obstruction male middle aged mortality pathology postoperative complication procedures retrospective study Russian Federation self expandable metallic stent time to treatment treatment outcome Aged Colonic Neoplasms Colonoscopy Decompression, Surgical Female Humans Intestinal Obstruction Male Middle Aged Postoperative Complications Retrospective Studies Russia Self Expandable Metallic Stents Time-to-Treatment Treatment Outcome
MATERIAL AND METHODS: 154 patients with acute left-side colonic obstruction were enrolled. Patients were divided into 4 groups. In groups 1-3 (n=120) patients underwent surgery at the moment of colonic obstruction, in 34 patients obstruction was managed with transtumoral decompression followed by radical surgery. Self-expanding metallic stents (SEMS) were used in these patients. Radical and palliative procedures at the moment of colonic obstruction are associated with high rate of postoperative complications and mortality.RESULTS: Transtumoral decompression in malignant colonic obstruction resolves the main objectives of complicated colonic cancer management: absence of surgical trauma, endotracheal narcosis, reduced risk of abdominal infection, possible multidisciplinary assessment of patient's status and preparation for radical surgery.AIM: To prove an effectiveness of transtumoral decompression in patients with acute malignant left-sided colonic obstruction.Цель исследования ― доказ