METHOD OF INTESTINAL DECOMPRESSION IN TREATMENT OF RECTAL CANCER COMPLICATED BY INTESTINAL OBSTRUCTION
Stoma surgery in patients with obstructive rectal cancer is not a rare case. That is why we studied a possibility of conservative treatment with large bowel obstruction (LBO) using the method of endoscopic recanalization. Material and methods. We enrolled 117 rectal cancer patients with acute or par...
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| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Russian Academy of Sciences, Tomsk National Research Medical Center
2016-12-01
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| Series: | Сибирский онкологический журнал |
| Subjects: | |
| Online Access: | https://www.siboncoj.ru/jour/article/view/449 |
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| Summary: | Stoma surgery in patients with obstructive rectal cancer is not a rare case. That is why we studied a possibility of conservative treatment with large bowel obstruction (LBO) using the method of endoscopic recanalization. Material and methods. We enrolled 117 rectal cancer patients with acute or partial LBO. Fifty-eight patients were treated with endoscopic recanalization of lumen. After achieving intestinal decompression, the patients received preoperative chemoradiotherapy (40–60 Gy, tegafur 300 mg/м2, 1–28 days) followed by surgery. The control group consisted of 59 patients who were treated with surgery followed by chemoradiotherapy. Results. Decompression was successful in 48 patients (82.7 %). Partial recanalization was observed in 8 patients, but it was not obstacle to perform chemoradiotherapy. Two patients developed complications (paracolic abscess), requiring unplanned emergency surgery. The frequency of sphincter-preserving surgical procedures was 82.6 % in the study group and 28.8 % in the control group, p<0.001. Conclusion. The proposed method of intestinal decompression allowed the number of sphincter-sparing surgery to be increased without worsening the disease prognosis. |
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| ISSN: | 1814-4861 2312-3168 |