Surgical treatment of colorectal cancer complicated by obstructive ileus

According to numerous publications in recent years, marked increase in the number of cancer patients rectum and colon. According to WHO, cancer of the colon takes 3-4 place in the structure of cancer incidence and the number of patients with advanced high as 70%. Due to the late diagnosis of the disease a significant number of patients admitted to a hospital with complicated forms of cancer. On the concept of "complicated cancer" include tumors, complicated intestinal obstruction, inflammation, perforation and bleeding (Alexander N. et al., 1980 .; Efimov GA Ushakov Yu, 1984).

Clinical-morphological study of growth characteristics of low rectal cancer. Perspectives of modern oncoproctology

Abdominoperineal extirpation developed by Miles at the beginning of this century, today lost its status as the "gold standard" in the treatment of cancer of the upper, middle and partly nizhneampulyarnogo rectum, replaced sfinkterosohranyayuschim operations [1, 7, 18].

Role and place of endoscopic polypectomy in the surgical treatment of patients with adenomatosis of the colon

Diffuse colonic polyposis is one of inherited diseases of the gastrointestinal tract characterized by a high index of malignancy polyps. Despite the fact that most specialists believe surgery for diffuse polyposis colon only way to cure this disease, of considerable importance is the colon endoscopic readjustment is operated patients, and patients with relatively good and the gradual development of the disease.

About the removal of colon polyps

The problem of medical tactics in polyps of the colon remains relevant more than 10 years [1, 2]. In polyclinics adhere active tactics as the detection of polyps and their timely removal. For 25 years (1970-1994gg) performed endoscopic polypectomy 3418 colon in activity was observed in 2880 patients. Sintopny colorectal cancer established in 13 patients (0.45%) aged 49-82 years (60 years and older - about 70%), almost equally often as men (7 people) and women (6 people).

Repeated surgery in complicated and locally advanced colorectal cancer

Virtually all developed countries continues to increase the incidence of colorectal cancer [6]. Despite some advances in the diagnosis of colorectal cancer still remains a high percentage of patients with complicated and running course of the disease [3, 6, 10]. The main and most effective form of treatment for colon cancer is surgical [1,4, 9]. According to specialized clinics onkoproktologicheskih resectability rate this localization is quite high, at 68-82%, whereas in the surgical wards of general health services, this figure is lower - less than 50% [5, 7].

Experience of treatment of colorectal cancer

From 1964 to 2000. in the surgical clinic of them. AI Kozhevnikov performed in 2908 planned radical surgery for rectal cancer. Men was in 1393 (47.9%) of women in 1515 (52.1%). In all cases, the presence of a cancerous tumor in the rectum was confirmed by morphological examination. In the diagnosis of the importance attached to not only the detection of the tumor itself, but also to assess its prevalence, consistency, mobility, growth form and nature of metastasis.

Expanded, combined and surgery in the treatment of colorectal cancer

The modern level of development of surgery, anesthesiology and intensive therapy enables significant volume and trauma surgery with much less risk to the patient's life than was previously possible. However, an increasing number of patients with advanced forms of cancer as well as comorbidity abdominal organs. In our opinion, these are the main factors responsible for more widespread simultaneous surgeries on several organs. Feasibility and effectiveness of simultaneous operations in the treatment of colorectal cancer noted by many authors [1, 2, W].

Acute paraproctitis in somatic burdened patients

As a rule, the primary acute paraproctitis (as well as recurrent abscesses) affects young people and middle-aged people who do not have any serious comorbidities, but in the clinics where these patients are concentrated, should be allocated to groups of patients paraproctitis diabetes mellitus, cardiovascular disease -sosudistoy insufficiency and other chronic diseases. Such patients - not casuistry; in clinics, providing emergency assistance proctology, a contingent of patients, especially patients with diabetes, is constant and is a significant percentage.

Application radiosurgical device "Surgitron" in the treatment of benign diseases of the anal canal and rectum

Currently, the practice of medicine has many cutting tools. Application of modern technologies dissection change perceptions about the possibilities of a bloodless surgical operations and reducing the risk of postoperative complications. The advantages of using a laser and ultrasonic radiation in proctology over traditional scalpel noted by many authors [1,3,5].

Experience of treatment of anal fissures in the outpatient setting

In the structure of diseases of the colon on the uptake takes 3mesto anal fissure (12%) after colitis and hemorrhoids. The bulk of the patients - people of working age. Many leading Russian experts believe that the treatment of anal fissure in outpatient settings only need to start with conservative measures, while noting that it is difficult to achieve proof of success of the application of the standard regimens for medical treatment - requires individual approach based on the opinions of the patients themselves.

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