The results of treatment of the descending colon’s necrosis after sphincter-saving operation of patients suffering from colorectal cancer
The results of treatment of 271 patients with necrosis of the lowered intestine after sphincter-preserving operations in patients with colorectal cancer are presented. The control group included 176 patients, in the study group - 95 patients. For the treatment of patients in the control group, colostomy was used, and for the treatment of the patients of the group under study - the developed treatment tactics. Intraoperative complications were observed in 10.3±1.8% of patients, including 13.1±2.5% of the control group and 5.3±2.3% of the studied group (p=0,06). The frequency of postoperative complications was 18.1±2.3%, of which 21.6±3.1% in the control group and 1.6±3.3% in the study group. Due to the use of developed treatment tactics, the reduction in postoperative lethality is 2 times - from 12.5±2.5% (22 patients) to 6.2±2.5% (6 patients) (p=0.046).
2. Natsionalnyi instytut raku. (2008). Rak v Ukraini v 2006-2007 r. (zakhvoriuvanist, smertnist, pokaznyky diialnosti onkolohichnoi sluzhby). Biuleten natsionalnoho kantser-reiestru Ukrainy. Kyiv. [in Ukrainian].
3. Natsionalnyi instytut raku. (2017). Rak v Ukraini v 2015-2016 r. (zakhvoriuvanist, smertnist, pokaznyky diialnosti onkolohichnoi sluzhby). Biuleten natsionalnoho kantser-reiestru Ukrainy. Kyiv. [in Ukrainian].
5. NCCN Guidelines Version 2.2017. Rectal Cancer.