About 30-35% of cases of colorectal cancer (CRC), complicated by intestinal obstruction (IO) are need emergency surgery. Our goal had been evaluating cases of local-invasive CRC complicated by IO in a surgical point.
Material and Methods:
The short-term result of 32 patients surgical treatment in a cause of CRC complicated by IO had been analyzed. In all cases tumor invasion into the surrounding tissue was detected by computed tomography (CT). In 18 cases the tumor grew into peritoneum, fascial-muscular structures, in 14 cases cancer spread involving other next organs of the abdominal cavity and retroperitoneal space. 32 primary radical surgery were performed with restoration of the alimentary tract continuity: 28 interventions with removal of the organ-complex and soft tissues of the abdominal wall, 1 operation added with resection of the right ureter and 3-need splenectomy. In all cases it has been using the various methods of intraoperative decompression and sanitation of intestine.
The complications in the early postoperative period were not detected. In two cases a stricture of the ureter developed one-two months later, which required stenting. In all cases tumor invasion into surrounding anatomical structures was morphologically confirmed.
The conducted study confirmed high informative value of CT in CRC complicated by IO. The local-invasive CRC with IO required performing advanced primary radical surgical interventions with intestinal anastomoses. To prevent anastomoses failure and improving their protection it has been necessary to provide the intraoperative decompression and sanitation of intestine.