[Effectiveness of the surgical treatment of rectal cancer in the elderly].
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Biomedical subjects
Publications and source records attributed to A I Kozhevnikov.
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The positive aspects of abdomino-anal resections are as follows: their radicality (a 5-year postoperative survival - in 64.8% of patients, a 10-year survival - in 47.3%), somewhat low rate of the postoperative mortality (5.5%), excellent, good and satisfactory function of the sphincter was noted in 79.6%. Whereas its shortcomings are necroses of the rectum following the pull-through procedures, necessitating a double-trunk colostomy to be performed in 2.4% of patients, and the impaired sphincter functioning. Some measures to reduce the mentioned complications are suggested. The study is based on 417 observations.
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The study of late results of treatment in 1166 patients with breast cancer permitted to find the percentage of a 5-year survival to be equal to 55.58, 37.93% of patients survived for 10 years, 28.25% -- for 15 years. In the first stage a 5-year survival was 87.20%, while in the second and third -- 57.7% and 31.56% of patients survived for 5 years, accordingly. The modern methods of radiotherapy (radiosurgical method, interstitial gamma therapy with Au-198 granules, distance grammatherapy on the machine LUCH) enhanced the efficacy of therapeutic measures in patients with widespread breast cancer. A complex diagnosis -- cytology, non-contrast mammography and mathematical analysis by means of a computer contributes to recognition of early forms of breast cancer.
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