OPTIONS FOR OPTIMIZING NEOADJUVANT THERAPY FOR RECTAL CANCER

Abstract

The subject of the present investigation were 127 patients to whom Hartmann's operation was carried out at non-tumorous diseases of the large intestine (sigmoid colon volvulus - 123; stab wound - 4). According to aim and objectives of our study authors conventionally allocated two groups: control, including 73 (57,5%) patients with left-sided colonic stoma, which were subjected to retrospective analysis and basic, including 54 (42,5%) similar patients, where surgical tactics and technical operations techniques were optimized.

As the result of carried out work the authors significantly improved the results of surgical treatment at RBO after Hartmann operation, that is caused by complex approach, using proposed two-stage therapeutic and diagnostic algorithm, as well as tactical and technical aspects and using perfected invagination and "immersion" invagination anastomoses.

Summarizing, the authors conclude that surgical tactics should be active in terms of diagnostics, preoperative preparation and postoperative management as well as individualized in terms of timing and modes of RVO.