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Ultima descărcare din IBN: 2023-06-22 12:55 |
Căutarea după subiecte similare conform CZU |
616.348-006-07-085 (1) |
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1746) |
SM ISO690:2012 URSU, Alexandr, GURGHIŞ, Radu. Synchronus colorectal cancers – diagnosis and treatment. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 310. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.348-006-07-085 | ||||||
Pag. 310-310 | ||||||
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Background. Synchronous colorectal cancers (SCC) refer to more than one primary tumor detected in a single patient at the initial presentation. SCC has an incidence of 1.8-12.4% and can have several simultaneous locations in colon. Objective of the study. Analysis of the particularities of diagnosis and treatment of SCC. Material and Methods. Retroand prospective study on 475 patients with colorectal cancer (CRC) hospitalized and operated in Institute of Emergency Medicine during 2017-2021. Of these, eight (1.68%) patients had multiple colorectal tumors. Ratio M:F = 1.19:1, mean age – 65.41±1.32 years (p < 0.01). Results. The majority of patients with SCC – 6 (1.26%) presented in emergency with subocclusive syndrome or acute intestinal obstruction (AIO) due to stenotic colorectal tumor. The locations of the stenotic tumor were the sigmoid – 6 (1.26%) cases, with the location of the synchronous one on the transverse – 5 (1.05%) and 1 (0.21%) – on the ascending, detected intraoperatively. The other two (0.42%) cases were located in the ascending, the synchronous tumors being located in the descending (n = 1), another on the sigmoid, detected intraoperatively. In 4 (0.84%) cases, the cause of AIO was detected by irigography, the other patients were operated in base on a simple radiological examination. Radical operations were performed in 6 cases with primary anastomosis and in 2 cases – colostomies. The postoperative evolution was satisfactory and correlated with the complications of the underlying disease. Conclusion. Preoperative detection of SCC is difficult, being determined by the emergency presentation of patients with AIO and insufficiently prepared for colonoscopy examination. Surgeon’s vigilance and thorough examination of the colon during surgery is necessary to detect synchronous lesions and avoid reoperation |
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Cuvinte-cheie synchronous colorectal cancers, intestinal obstruction, diagnostic, treatment, tumori colorectale sincrone, ocluzie intestinală, diagnostic, Tratament |
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