[Synchronous colonic cancers]

Autor: C, Diaconu, C, Dogaru, V, Scripcariu, M, Stoian, Cr, Dragomir, Ivona, Russu, V, Pandrea, F, Zugun, E, Carasievici, Maria-Sultana, Mihailovici
Jazyk: Romanian; Moldavian; Moldovan
Rok vydání: 2003
Předmět:
Zdroj: Chirurgia (Bucharest, Romania : 1990). 97(4)
ISSN: 1221-9118
Popis: The aim of this study is to present the difficulty of an accurate preoperative diagnostic for synchronous colonic cancers and to sustain the necessity of total colectomy. A retrospective study was carried out on 16 patients hospitalized in the IIIrd Surgical Unit, St. Spiridon Hospital, U.M.Ph. "Gr.T.Popa" Iasi between 1990-1999. The surgical procedures were: extensive colectomy with ileo-sigmoid anastomosis, segmentary colectomy, total colectomy with ileo-rectal anastomosis.Perioperative mortality: zero; uneventfully recovery for all patients. A metachronous lesion 3 years after the first operation was detected in one patient; postoperatively, one patient developed occlussion 3 months after, requiring re-operation.1. synchronous colonic cancers are closely related with a genetic instability of the colonic mucosa; 2. total colectomy is a safe manner to prevent metachronous lesions.
Databáze: OpenAIRE