DIAGNOSIS AND TREATMENT OF OBSTRUCTIVE COLONIC OBSTRUCTION OF TUMOR ETIOLOGY

Abstract

Obstructive tumor colonic obstruction (OTCO) is one of the most severe and frequent complications of colorectal cancer and occupies a leading place in the structure of emergency abdominal surgery. Currently, one of the important and unsolved problems in oncology is colon cancer, and in surgery - intestinal obstruction from 29-40%, which ranks first in the structure of complicated forms of colorectal cancer and is the most pressing problem in emergency surgery. [Abdullaev M A. 2005. Agavelyan A.M., Enfenjyan A.K. 2005. Costi R, Leonardi F, Zanoni D, Violi V, Roncoroni L 2014. Setti Carraro PG, Segala M, Cesana B, Tiberio G.2001. Tekkis PP, Kinsman R, Thompson MR, Stamatakis JD.  [2004]. The incidence of this complication ranges from 15 to 88.9% [Ektov VN 2017 Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM. 2010]. The complexity of treatment is due to late diagnosis, a high rate of diagnostic errors, and the lack of a unified surgical approach. The paper presents an analysis of 193 case histories of patients with intestinal obstruction who underwent treatment in a surgical clinic in 2000–2018. It was found that in 83.9% of cases, the cause of obstruction was a colon tumor. Clinical manifestations, diagnostic approaches, and surgical tactics were analyzed depending on the tumor location. The mortality rate was 16%, primarily in patients over 65 years of age. Differentiated surgical tactics for right-sided and left-sided tumor localization are substantiated.