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Articolul urmator |
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Ultima descărcare din IBN: 2022-09-09 20:59 |
SM ISO690:2012 GURGHIŞ, Radu, URSU, Alexandr, GAGAUZ, Ion, ROJNOVEANU, Gheorghe. Emergency surgery in occlusive colorectal cancer. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 265. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 265-265 | ||||||
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Rezumat | ||||||
Background. Emergency interventions in occlusive colorectal cancer (OCRC) are associated with high rates of morbidity and mortality, determined by the therapeutic attitude and comorbidities of patients, the ways to complete the intervention being the primary anastomosis or the external derivation. Objective of the study. Analysis of the result of surgical treatment of OCRC in emergencies. Material and Methods. Retrospective study on 90 patients with OCRC, operated in Emergency Hospital (Chișinău), between 2018 and 2020. Ratio M:W=1.1:1, average age – 63.96±1.34 years. With location on the right side – 30(33.3%), transvers colon – 8(8.8%), left side – 52(57.7%). Results. Cause of hospitalization: acute intestinal occlusion (AIO) and peritonitis – 22(22.44%), AIO – 25(27.7%), subocclusion – 43(47.7%). Performed hemicolectomies: right – 24(26.67%), including 7(7.78%) extended, left – 42(46.67%), Hartmann operations – 17(18.9%). In the right OCRC 25(80.65%) ileotransversostomies and 6(19.35%) ileostomies were performed. In the left OCRC were applied 34(80.95%) internal derivations, 3(7.14%) transversostomies and 5(11.9%) STEC. Leakages were recorded in 5.1% (n=3), resolved by relaparotomy and external derivation. General mortality was 21.1% (n=19), of which 8(42.1%) with primary anastomoses and 11(57.9%) with external derivations. Conclusion. The type of surgery is determined by the location of the tumor and the degree of intestinal occlusion. The specific complications did not influence the lethality, which was strictly dependent on homeostasis disorder caused by late occlusion. |
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Cuvinte-cheie occlusive colorectal cancer, surgical emergencies, anastomoses, extern, cancer colorectal ocluziv, urgențe chirurgicale, anastomoze, derivații |
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