Transtumoral decompression in acute left-sided colonic obstruction

Bagdasarov V.V.; Bagdasarova E.A.; Pavlov P.V.; Karchevsky E.V.

doi:https://doi.org/10.17116/hirurgia2018622-29

Bagdasarov V.V.

Department of Hospital Surgery, Faculty of General Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia

Bagdasarova E.A.

Department of Hospital Surgery, Faculty of General Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia

Pavlov P.V.

Hertzen Moscow Oncology Research Institute, Russia

Karchevsky E.V.

Department of Hospital Surgery, Faculty of General Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia

Transtumoral decompression in acute left-sided colonic obstruction

Authors:

Bagdasarov V.V., Bagdasarova E.A., Pavlov P.V., Karchevsky E.V.

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Journal: Pirogov Russian Journal of Surgery. 2018;(6): 22‑29

DOI: 10.17116/hirurgia2018622-29

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To cite this article:

Bagdasarov VV, Bagdasarova EA, Pavlov PV, Karchevsky EV. Transtumoral decompression in acute left-sided colonic obstruction. Pirogov Russian Journal of Surgery. 2018;(6):22‑29. (In Russ.)
https://doi.org/10.17116/hirurgia2018622-29

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Aim. To prove an effectiveness of transtumoral decompression in patients with acute malignant left-sided colonic obstruction. Material and methods. 154 patients with acute left-side colonic obstruction were enrolled. Patients were divided into 4 groups. In groups 1—3 (n=120) patients underwent surgery at the moment of colonic obstruction, in 34 patients obstruction was managed with transtumoral decompression followed by radical surgery. Self-expanding metallic stents (SEMS) were used in these patients. Radical and palliative procedures at the moment of colonic obstruction are associated with high rate of postoperative complications and mortality. Results. Transtumoral decompression in malignant colonic obstruction resolves the main objectives of complicated colonic cancer management: absence of surgical trauma, endotracheal narcosis, reduced risk of abdominal infection, possible multidisciplinary assessment of patient’s status and preparation for radical surgery.

Keywords:

acute colonic obstruction

transtumoral stenting

endoscopic decompression

Authors:

Bagdasarov V.V.

Department of Hospital Surgery, Faculty of General Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia

Bagdasarova E.A.

Department of Hospital Surgery, Faculty of General Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia

Pavlov P.V.

Hertzen Moscow Oncology Research Institute, Russia

Karchevsky E.V.

Department of Hospital Surgery, Faculty of General Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia

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References:

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