1. [Intraoperative colonic sorption dialysis in colonic cancer complicated with colonic obstruction].
- Author
-
Topuzov EG, Beliakov NA, Solomennikov AV, Kokaia AA, Bondarchuk DM, and Shishkina GA
- Subjects
- Case-Control Studies, Colonic Diseases surgery, Colonic Neoplasms surgery, Humans, Intestinal Obstruction surgery, Intraoperative Care, Therapeutic Irrigation, Treatment Outcome, Colonic Diseases etiology, Colonic Diseases therapy, Colonic Neoplasms complications, Colonic Neoplasms therapy, Dialysis methods, Intestinal Obstruction etiology, Intestinal Obstruction therapy
- Abstract
The data on treatment 84 patients with large bowel carcinoma aggravated by occlusion ileus are discussed. The study group included 49 patients who received intraoperative sorption dialysis of large bowel (ISDLB). Intraoperative lavage of large bowel (ILLB) was given to 35 patients who were in control. A significantly higher detoxication effect of ISDLB was recorded by hematological and biochemical index dynamics analysis. Lethality dropped to 6% in the group receiving ISDLB (11%). The latter patients spent 15 +/- 4 days in hospital as compared to 25 +/- 4 days in control. The postoperative complication rates were 14 and 29%, respectively. ISDLB should be indicated in complex therapy of bowel carcinoma aggravated by occlusion ileus because of its cleansing effect which significantly reduces end-genuous intoxication.
- Published
- 1998