The Combined Operation The Cancer Of The Rectum With Germination In Genital Organs

  • H Bobokulov
  • A Hakimov
Keywords: Cancer Of The Rectum, Combined Operations, Extended Operations

Abstract

 

The Purpose of the study: define the indications and contraindications to, combined operation in locally invasive tumor of the rectum.

The Material and methods of the study: we have analysed results combined operation in cancer of the rectum with germination in genital organs, performed in department of coloproctology in National Oncological Scientific centre during 2005-2009 years.

Under observation were 118 women at age from 21 to 68 years.      This before 45 years - 26 patients, from 46 to 59 years - 54 patients, 60 and above years.

The Results and their discussion: Postoperative complications suppurative-inflammatory character appeared beside 36 patients (30,5%), most of all after abdomeno - perineal extirpation of rectum (35,5%) and abdominoanal resection of the rectum (33,3%). In lesser extend after front resection of the rectum and after operation Hartman (28,5% and 22,7%).

The General lethality has formed 3,4%, have died after combined operation 4 patients from 118 operated patients.

The Conclusion: thereby, brought data evident that such important factors, as frequency of the origin relapse (28%), 5-year probability of survival (37,1%), under combined interference and operation of the standard volume in the cancer of the rectum practically the same.

References

Bondar G.V., Zvezdin V.М, Lzur А.I «Radical and combined operations in treatment of the cancer of rectum // Surgery -1990-№4-P.58-61

Vorobev G.I., Оdaryk Т.S., Salamov K.N, Juchenko А.I. «Aktual problems of coloproctology» Russian onc.Volgrad. 1997.

Vorobev G.I., Оdaryk Т.S., Sarkov P.V., Eropkin P.V. // Surgery -1998-№4-P.4-8

Garin А.М. «cancer of rectum » М.1998

Knish V.I. cancer of mezocolon М-1997

Fedorov V.D. «cancer of rectum » М.-1987.P.318

Arnand J.P, Nordlinger B., Bosst J.F. et all // Brit J/Surg.-1997.-Vol.84.-P 352-357

Char R.S. Tuler D.S. Ancher M.S. et all // Surg.-1997.-Vol.221.- P 778-786

Craham R.A. Atkins M.B, Karp D.D. et all // Dis.colon Rect .-1994.-Vol.37.-P 308-312

Encen W.E/ “Total mesorectal excision/- the new golden standart of surgery for rectal cancer.” Br.J.syrg 1998-85:J:98-100

Goldberg P.A. Nicollos R.G. Porter N.N. et all // Evr.J.cancer.-1994.-Vol 30A.p1602-1606/

Jessup J.M. Loda M. Blenday R. “ Results of radical surgery for advanced rectal cancer” 1989.-8:J:98-100

Ruhlemann J. Scolburg A. Bender H et all // .-1997.- vol 40.-P 1195-1204

Published
2010-04-01
Section
Articles