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Updated: Aug 9, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
[Surgical rectal obstruction--change in treatment over the last 10 years]
G Zlatarski1, D Loultchev, P Stevanov
1Notfallmedizininstitut N. I. Pirogov, Sofia, Bulgarien.
Abstract:
The authors retrospectively analyzed 523 patients with large bowel obstruction (LBO): 126 (24.09%) right-sided (RSLBO) and 397 (75.91%) left-sided (LSLBO), treated at the Emergency Medicine Institute "N. I. Pirogov" in Sofia. For the period 1988-1997, a trend toward more radical and aggressive surgery is shown: compared to a previous period (1964-1983) the one-time operations (partial, subtotal and total colectomy with primary anastomoses) are becoming standard operations in RSLBO as well as in LSLBO. A classification based on objective clinical, X-ray and intraoperative findings is considered in the diagnostic and therapeutic algorithm of the LSLBO.
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