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Biomedical subjects

T G Podlovchenko

Publications and source records attributed to T G Podlovchenko.

2 recordsLinked to original sources

[Choice of surgery scope in occlusive obstruction of the colon].

From 1980 five hundred and seventy-three patients underwent surgery for occlusive obstruction of the colon (OOC). Radical surgeries (left-sided hemicolonectomy, Hartman's surgery, subtotal colonectomy) were performed in 440 (77%) patients, 133 (23%) patients underwent palliative surgeries. One hundred and sixty-one patients of radically operated underwent one-stage surgeries (93 right-sided hemicolonectomies and 68 subtotal colonectomies). Postoperative lethality after radical surgeries was 16.5%. Postoperative lethality, time of hospital stay, rate of postoperative complications after Haptman's surgery and subtotal colintcyomy don't differ, but patients after subtotal colonectomy don't require reconstruction surgery.

Colon↗

[Subtotal colectomy: 20 years' experience].

Results of surgical treatment of 338 patients (1984-2002) with complicated cancer of the left half of the colon were analyzed retrospectively. Patients who had undergone Hartman's surgery and subtotal colonectomy were comparable by age, time of hospitalization, stage of cancer and concomitant diseases. Immediate results of treatment (postoperative complications, postoperative stay, postoperative lethality) don't differ significantly. Long-term results demonstrate important difference in survival. Mean survival of patients after Hartman's surgery was 3 years 6 months, after subtotal colonectomy - 9 years 6 months. It is concluded that subtotal colonectomy is the surgery of choice in the treatment of patients with complicated cancer of colon's left half.

Age Factors↗