[Synchronous colonic cancers].

C Diaconu; C Dogaru; V Scripcariu; M Stoian; Cr Dragomir; Ivona Russu; V Pandrea; F Zugun; E Carasievici; Maria-Sultana Mihailovici

PubMed · 12731254

[Synchronous colonic cancers].

C Diaconu·C Dogaru·V Scripcariu·M Stoian·Cr Dragomir·Ivona Russu·V Pandrea·F Zugun·E Carasievici·Maria-Sultana Mihailovici

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Abstract

UNLABELLED: 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. RESULTS: 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. CONCLUSIONS: 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.

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Adenocarcinoma Colectomy Colonic Neoplasms Female Humans Male Middle Aged Neoplasm Staging Neoplasms, Multiple Primary Retrospective Studies Treatment Outcome English Abstract Journal Article

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C Diaconu, C Dogaru, V Scripcariu, M Stoian, Cr Dragomir, Ivona Russu, V Pandrea, F Zugun, E Carasievici, Maria-Sultana Mihailovici. [Synchronous colonic cancers].. https://pubmed.ncbi.nlm.nih.gov/12731254/

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