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Locally advanced adenocarcinoma of the supramesocolic part of the colon . Feat ures of surgical treatment and challenges

V. Marinov, R. Gaydarski, K. Draganov, N. Katev, D. Rusenov, Y. Kolev, A. Petreska, B. Borisov, G. Chengalova, S. Lavchev, D. Penchev, D. Stoyanova, S. Tonev

Abstract

Purpose: The objective of the present study was to analyze the early results from the surgical treatment of locally advanced carcinoma of the colon in its transverse section and the two flexures.

Material and methods: The study covered 36 patients with locally advanced colonic carcinoma, 19 males and 17 females at a mean age of 65,6 years, treated in the Clinic of Liver, Biliary, Pancreatic and General Surgery, Tokuda Hospital of Sofia during the period from January 2007 to March 2013. Any necessary diagnostic and surgical methods were applied.

Results: Multivisceral resections were commonly performed in order to achieve a radical surgery in cases of locally advanced disease. Great surgeon`s experience in liver, biliary and pancreatic interventions is obligatorily required. In this paper we share our experience in the treatment of this disease for a period of 6 years.

Conclusion: Our application of the multivisceral resections results in surgical radicality along with acceptable levels of perioperative morbidity and mortality rates when compared to other studies in in the foreign literature available.


Keywords

locally advanced colonic adenocarcinoma; supramesocolic part of colon; colonic flexures; multivisceral resections; postoperative complications

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DOI: http://dx.doi.org/10.14748/ssm.v45i0.873

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About The Authors

V. Marinov
Tokuda Hospital of Sofia
Bulgaria

Clinic of Liver, Biliary, Pancreatic and General Surgery

R. Gaydarski
Tokuda Hospital of Sofia
Bulgaria

Clinic of Liver, Biliary, Pancreatic and General Surgery

K. Draganov
Tokuda Hospital of Sofia
Bulgaria

Clinic of Liver, Biliary, Pancreatic and General Surgery

N. Katev
Tokuda Hospital of Sofia
Bulgaria

Clinic of Liver, Biliary, Pancreatic and General Surgery

D. Rusenov
Tokuda Hospital of Sofia
Bulgaria

Clinic of Liver, Biliary, Pancreatic and General Surgery

Y. Kolev
Tokuda Hospital of Sofia
Bulgaria

Clinic of Liver, Biliary, Pancreatic and General Surgery

A. Petreska
Tokuda Hospital of Sofia
Bulgaria

Clinic of Liver, Biliary, Pancreatic and General Surgery

B. Borisov
Tokuda Hospital of Sofia
Bulgaria

Clinic of Liver, Biliary, Pancreatic and General Surgery

G. Chengalova
Tokuda Hospital of Sofia
Bulgaria

Clinic of Liver, Biliary, Pancreatic and General Surgery

S. Lavchev
Tokuda Hospital of Sofia
Bulgaria

Clinic of Liver, Biliary, Pancreatic and General Surgery

D. Penchev
Tokuda Hospital of Sofia
Bulgaria

Clinic of Liver, Biliary, Pancreatic and General Surgery

D. Stoyanova
Tokuda Hospital of Sofia
Bulgaria

Clinic of Liver, Biliary, Pancreatic and General Surgery

S. Tonev
Tokuda Hospital of Sofia
Bulgaria

Clinic of Liver, Biliary, Pancreatic and General Surgery

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