[Outcomes of the combined left-sided hemicolectomy, performed for colonic cancer]

The immediate and late follow-up results of the left-sided hemicolectomy (LSH) performed for colonic cancer in 131 patients, were analyzed. For the tumor spread on the adjacent organs and tissues the combined LSH plus courses of adjuvant polychemotherapy (PCHTH), in accordance with actual standards of treatment, were performed in 26 (19.8% +/- 3.5%) patients, suffering stages III-IV of the disease. In 44 (33.9% +/- 4.1%) patients, to whom LSH was conducted for the disease III-IV stages, the courses of adjuvant PCHTH were conducted. After LSH 16 (36.4% +/- 1.2%) patients have had survived 3 years, and after combined LSH with subsequent courses of adjuvant PCHTH - 7 (26.9% +/- 8.7%). The data obtained have witnessed, that the colonic tumor spread towards adjacent organs and tissues worsens the radical operations results essentially, even of the combined operations and after adjuvant PCHTH courses.