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[Transtumoral decompression in acute left-sided colonic obstruction]
V V Bagdasarov1, E A Bagdasarova1, P V Pavlov2
1Sechenov First Moscow State Medical University Moscow, Russia.
Aim:
To prove an effectiveness of transtumoral decompression in patients with acute malignant left-sided colonic obstruction.
Material And Methods:
154 patients with acute left-side colonic obstruction were enrolled. Patients were divided into 4 groups. In groups 1-3 (n=120) patients underwent surgery at the moment of colonic obstruction, in 34 patients obstruction was managed with transtumoral decompression followed by radical surgery. Self-expanding metallic stents (SEMS) were used in these patients. Radical and palliative procedures at the moment of colonic obstruction are associated with high rate of postoperative complications and mortality.
Results:
Transtumoral decompression in malignant colonic obstruction resolves the main objectives of complicated colonic cancer management: absence of surgical trauma, endotracheal narcosis, reduced risk of abdominal infection, possible multidisciplinary assessment of patient's status and preparation for radical surgery.
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