OBJECTIVE: to evaluate oncological outcomes of surgical procedures performed in emergency conditions for complicated colorectal cancer. MATERIALS AND METHODS: we studied data of 1098 patients who underwent emergency surgery for complicated colorectal cancer in hospitals of Smolensk during the period from 2001 to 2013. RESULTS: 888 pathology reports of specimen assessment were analyzed. In 33 (11,5%) of 286 cases of rectal cancer distal resection margin was positive and 102 (35,7%) cases were CRM(+). Tumor growth was also registered at the distal margin in 4 (6%) of 67 patients with rectosigmoid cancer. In the majority of cases (68,1%) the lymph node harvest did not exceed 3. 12 or more lymph nodes were assessed in 50 (5,6%) of888 removed specimens only. CONCLUSION: The analysis of treatment results revealed that inadequate number of lymph nodes examined as well as R1 resection affected cancer-specific survival.
AIM. To estimate the short and long-term results of surgical treatment of colorectal cancer complicated by bleeding. MATERIALS AND METHODS. The results of 240 patients with colorectal cancer complicated by bleeding operated in Smolensk and Smolensk region in the period from 2002 to 2013 were analyzed. RESULTS. In the majority of cases radical treatment was one-stage surgery n=205 (85,4 %). CONCLUSION. Due to the high risk of recurrence of bleeding, patients with this complication of colorectal cancer are candidates for the tumor removing surgery.
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