Surgical treatment of complicated locally advanced tumors of the pelvic organs.
DOI:
https://doi.org/10.26641/2307-0404.2018.4(part1).145652Keywords:
pelvic tumors, evisceration, syndromes approach, combined operationsAbstract
The article presents the experience of surgical treatment of 51 patients who were treated at the State Institution “V.T. Zaitsev Institute of General and Emergency Surgery NAMS of Ukraine" from 2008 to 2018. with locally advanced cancer of the pelvic organs. Compression of the upper and lower urinary tract with the formation of ureterohydronephrosis was observed in 26 (50.1%) patients, acute intestinal obstruction in 22 (43.1%) patients, and formation of recto-vesicular and/or recto-vaginal fistulas in 15 (29.4 %) patients; bleeding in 14 (27.5%) patients. In 26 (50.1%) patients, 2 or more complications were present. Syndromic differentiation of treatment determined the tactics of the combined treatment, taking into account the risk of complications, which made it possible to ensure the radical removal of the primary tumor, as well as to preserve functioning of the pelvic organs when using a staged surgical treatment.
References
Petrov LO, Alekseev BYa, Sidorov DV. [Possibilities of reconstruction of the urinary system after total pelvic examinations in patients with locally advanced primary and recurrent tumors of the rectum]. Oncourologiia. 2011;1:95-100. Russian.
Sidorov DV, Alekseev BYa, Lozhkin MV, Grishin NA, Petrov LO, Troitsky AA, Chernichenko MA. [Long follow-up of the patient after total pelvic exenteratomy for locally advanced rectal cancer]. Oncourologiia. 2015;2:61-63. Russian.
Kith OI, Kasatkin VF, Gevorgyan YuA, et al. [Combined operations with preservation of a natural passage of urine on the urethra with locally advanced colorectal cancer germinating into the bladder]. Koloproktologiia. 2011;3:14-19. Russian.
Latypov VR, Dambaev GTs, Popov OS, Vusik AN [The results of pelvic exenteration in women performed for tumor lesions and complications of radiotherapy]. Oncourologiia. 2015;1:55-63. Russian.
Gebhardt C, Meyer W, Ruckriegel S, et al. Multivisceral resection of advanced colorectal carcinoma. Langebecks Arch. Surg. 2013;2(384):194-9.
Derici H, Unalp HR, Kamer E, et al. Multivisceral resections for locally advanced rectal cancer. Colorectal Dis. 2014;10(5):453-9.
Konishi T, Watanabe T, Kishimoto J, Nagawa H. Risk factors for anastomotic leakage after surgery for colorectal cancer: results of prospective surveillance. JAM Coll Surg. 2015;202(3):439-44.
World Health Organization. Mortality database; 2013
Downloads
How to Cite
Issue
Section
License
Copyright (c) 2018 Medicni perspektivi (Medical perspectives)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Submitting manuscript to the journal "Medicni perspektivi" the author(s) agree with transferring copyright from the author(s) to publisher (including photos, figures, tables, etc.) editor, reproducing materials of the manuscript in the journal, Internet, translation into other languages, export and import of the issue with the author’s article, spreading without limitation of their period of validity both on the territory of Ukraine and other countries. This and other mutual duties of the author and all co-authors separately and editorial board are secured by written agreement by special form to use the article, the sample of which is presented on the site.
Author signs a written agreement and sends it to Editorial Board simultaneously with submission of the manuscript.
