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 |
Externí odkaz: |
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