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Tactical decisions in the operative treatment of advanced and urgent cases of colorectal cancer

M. Radionov, D. D. Ziya, I. Sechanov, A. Simeonov, J. Zinovieva

Abstract

The authors reviewed retrospectively the patients treated in the Clinic of Surgery for colorectal cancer (CRC) during a five-year period (2008-2012). The main purpose was to consider the different tactical decisions for operative treatment in complicated, advanced and urgent cases. There were a total of 706 operated patients who were analyzed according to their age, gender, stage of disease, planned and urgent operative interventions, presence of concomitant diseases, performed operative procedures and mortality rate. The principles of assessment of every different case and those for making decisions for operative tactics and kind of intervention were described. The performed different operations in complicated, advanced and urgent patients were analyzed, too. Conclusions concerning the obtained results and their comparison with literature data available as well as concerning the benefits of differentiated tactical approach to every individual case with CRC were drawn.

Keywords

colon; rectum; cancer; emergency; colorectal cancer

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DOI: http://dx.doi.org/10.14748/ssm.v45i0.868
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About The Authors

M. Radionov
St. Anna University Hospital of Sofia
Bulgaria

Clinic of Surgery

D. D. Ziya
St. Anna University Hospital of Sofia
Bulgaria

Clinic of Surgery

I. Sechanov
St. Anna University Hospital of Sofia
Bulgaria

Clinic of Surgery

A. Simeonov
St. Anna University Hospital of Sofia
Bulgaria

Clinic of Surgery

J. Zinovieva
St. Anna University Hospital of Sofia
Bulgaria

Clinic of Surgery

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