Extirpation of rectum for cancer in patient with decompensated liver cirrhosis and portal hypertension
The aim of publication. To estimate efficacy of multidisciplinary approach in treatment of patients with rectal cancer together with portal hypertension and liver cirrhosis using the example of clinical case.Original positions. 71 year-old male patient with diagnosed low rectal cancer and concomitan...
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| Format: | Article |
| Language: | Russian |
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Gastro LLC
2011-09-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/1457 |
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| author | P. V. Tsarkov V. M. Lebezev V. I. Stamov V. V. Nikoda A. Yu. Kravchenko Ye. D. Lyubivy B. N. Bashankayev M. A. Danilov |
| author_facet | P. V. Tsarkov V. M. Lebezev V. I. Stamov V. V. Nikoda A. Yu. Kravchenko Ye. D. Lyubivy B. N. Bashankayev M. A. Danilov |
| author_sort | P. V. Tsarkov |
| collection | DOAJ |
| description | The aim of publication. To estimate efficacy of multidisciplinary approach in treatment of patients with rectal cancer together with portal hypertension and liver cirrhosis using the example of clinical case.Original positions. 71 year-old male patient with diagnosed low rectal cancer and concomitant: decompensated liver cirrhosis, portal hypertension with varicose esophageal and stomach veins and hepatocellular failure of class C by Child-Pugh. Patient was treated by simultaneous abdomino-perineal rectal excision with para-aortic lymphadenectomy and retroperitoneal end colostomy, splenectomy, devascularization of the stomach, gastrotomy with stitching of varicose veins at the lower third of the esophagus and the stomach. On the basis of foreign experience, risks of such surgical interventions were analyzed and, based on current clinical case, optimal surgical concept for patients of this category is proposed.Conclusion. Multidisciplinary approach in diversified clinic allows to provide adequate treatment of patients with cancer of the rectum combined with portal hypertension and liver cirrhosis. |
| format | Article |
| id | doaj-art-26b3a35a68e749a2b59e67591c7c0436 |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2011-09-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-26b3a35a68e749a2b59e67591c7c04362025-02-10T16:14:31ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732011-09-012158289991Extirpation of rectum for cancer in patient with decompensated liver cirrhosis and portal hypertensionP. V. TsarkovV. M. LebezevV. I. StamovV. V. NikodaA. Yu. KravchenkoYe. D. LyubivyB. N. BashankayevM. A. DanilovThe aim of publication. To estimate efficacy of multidisciplinary approach in treatment of patients with rectal cancer together with portal hypertension and liver cirrhosis using the example of clinical case.Original positions. 71 year-old male patient with diagnosed low rectal cancer and concomitant: decompensated liver cirrhosis, portal hypertension with varicose esophageal and stomach veins and hepatocellular failure of class C by Child-Pugh. Patient was treated by simultaneous abdomino-perineal rectal excision with para-aortic lymphadenectomy and retroperitoneal end colostomy, splenectomy, devascularization of the stomach, gastrotomy with stitching of varicose veins at the lower third of the esophagus and the stomach. On the basis of foreign experience, risks of such surgical interventions were analyzed and, based on current clinical case, optimal surgical concept for patients of this category is proposed.Conclusion. Multidisciplinary approach in diversified clinic allows to provide adequate treatment of patients with cancer of the rectum combined with portal hypertension and liver cirrhosis.https://www.gastro-j.ru/jour/article/view/1457rectal cancerabdomino-perineal excisionportal hypertensionvaricose veins of the esophagus and the stomachliver cirrhosismultidisciplinary approach |
| spellingShingle | P. V. Tsarkov V. M. Lebezev V. I. Stamov V. V. Nikoda A. Yu. Kravchenko Ye. D. Lyubivy B. N. Bashankayev M. A. Danilov Extirpation of rectum for cancer in patient with decompensated liver cirrhosis and portal hypertension Российский журнал гастроэнтерологии, гепатологии, колопроктологии rectal cancer abdomino-perineal excision portal hypertension varicose veins of the esophagus and the stomach liver cirrhosis multidisciplinary approach |
| title | Extirpation of rectum for cancer in patient with decompensated liver cirrhosis and portal hypertension |
| title_full | Extirpation of rectum for cancer in patient with decompensated liver cirrhosis and portal hypertension |
| title_fullStr | Extirpation of rectum for cancer in patient with decompensated liver cirrhosis and portal hypertension |
| title_full_unstemmed | Extirpation of rectum for cancer in patient with decompensated liver cirrhosis and portal hypertension |
| title_short | Extirpation of rectum for cancer in patient with decompensated liver cirrhosis and portal hypertension |
| title_sort | extirpation of rectum for cancer in patient with decompensated liver cirrhosis and portal hypertension |
| topic | rectal cancer abdomino-perineal excision portal hypertension varicose veins of the esophagus and the stomach liver cirrhosis multidisciplinary approach |
| url | https://www.gastro-j.ru/jour/article/view/1457 |
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