[The results of extended and combined operations for locally-spread colon cancer]

The results of combined treatment of 385 cancer recti patients, of whom 202 -- using the staged tactics and chemotherapy, using modified methods of pelvic evisceration and reconstructive-restoration operations with extended lymph node dissection, were analyzed. The main syndromes, characteristic for locally-spread cancer recti are delineated, the surgical treatment concept for this pathology was formulated. The combined approach application had promoted the radical and cytoreductive operations performance rate enhancement, the reduction of palliative operations performance rate, as well as severe complications (hemorrhage and anastomotic sutures insufficiency) occurrence rate, total complications rate -- by 3.8% and lethality -- by 1.9%.