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  • Title: [Surgical treatment of cancer of the large intestine, complicated by intestinal obstruction].
    Author: Bondar' GV, Iakovets IuI, Basheev VKh, Zvezdin VP, Kuprienko VN.
    Journal: Khirurgiia (Mosk); 1990 Jul; (7):94-7. PubMed ID: 2232594.
    Abstract:
    Retrospective analysis of the treatment of 3,080 patients with cancer of the large intestine made it possible to distinguish compensated, sub- and decompensated degrees of the neoplastic stenosis and place the two last named into the category of a complicated course of cancer. In subcompensated stenosis (complications in 16.3% of cases, mortality 5.9%), irrespective of the location of the tumor, the authors consider one-stage intervention with primary restoration of the continuity of the intestine to be the operation of choice. In decompensated stenosis (complications 28.9%, mortality 13.2%) caused by tumors of the right colon and the rectum they recommend a similar policy, while in tumors of the left colon they believe Hartmann's operation to be indicated.
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