Issue: 2024, Vol. 29, No. 1

Е. J. Pokrovsky, А. А. Kisseliova

THE RESULTS OF SURGICAL TREATMENT IN PATIENTS WITH ACUTE INTESTINAL OBSRUCTION OF TUMOR ORIGIN

Keywords

acute intestinal obstruction, colon tumor, colostomy, Hartmann operation

Abstarct

Nowadays it is recommended to reduce the volume of the operational allowance in the form of a discharge stoma formation when performing a surgical intervention in acute intestinal obstruction (AIO) of tumor origin in surgical in-patient department of municipal hospitals; and this, according to experts, should reduce postoperative mortality. Objective – to compare the results of surgical treatment in patients with AIO which was caused by colon cancer (CC) in resection operations and in case of discharge stoma formation with preservation of the tumor. Material and methods. Case histories, operation protocols and annual reports of surgical department of municipal hospital were analyzed retrospectively for 2014–2022. 62 patients (48 men and 14 women) were enrolled in the study. The main group was formed of 30 patients who undergone the operation of discharge colostomy formation with preservation of the tumor, the comparison group was formed of 32 patients after resection operations. Results and discussion. Postoperative period in patients of both groups had no differences in the number of wound and non-wound complications and in the rate of recovery of passage through the intestine. Postoperative mortality in patients enrolled in the study and comparable in severity of the underlying disease and background pathology when performing the Hartmann operation (comparison group) was higher than in the operations of discharge colostomy formation (9,4 and 3,3 % respectively, p < 0,05), but the analysis of the annual reports of surgical departments for 2014–2022 (in the whole group of the disease) testified to the contrary. Conclusion. Retrospective evaluation of postoperative period in patients with AIO of tumor origin in performing Hartmann operation and in forming only a discharge colostomy with preservation of the tumor was generally comparable.

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