THE RESULTS OF TREATMENT OF THE DESCENDING COLON NECROSIS AFTER SPHINCTER-SAVING OPERATION OF PATIENTS SUFFERING FROM COLORECTAL CANCER

The basis of the present work was the information about 271 patients suffering from colorectal cancer with necrosis of the descending colon after surgery intervention with bringing down of the large intestines into perineum (the group under the study consisted of 95 patients, the group under control consisted of 176 patients). The three studies of the prevention of the necrosis of the descending colon were worked out (including the studies “before”, “during”, and “after-operation”). The integration of preventive methods provided decreasing of the risk of the progress of the necrosis of the descending colon 3.7 times.

The worked out management of the treatment of the patients suffering from the colorectal cancer with necrosis of the descending colon also decreased the risks of the after operation complications of the patients with colorectal cancer comparing with the method used before. Thanks to the worked out treatment it should be mentioned that the after operation mortality decreased two times — from (12.5±2.5)% (22 patients) till (6.2±2.5)% (6 patients) (p=0.046).

It was defined that excellent, good, satisfactory and almost satisfactory life quality of the patients suffering from colorectal cancer with the necrosis of the descending colon at treatment with the worked out methodic had (80.9±4.2)% of patients versus (59.1±4.0)% of patients of the control group.

The whole complex of the rehabilitation improved life quality of patients suffering from the necrosis of the descending colon, specifying the new way of the treatment of the stricture of the coloanal anastomosis, as well as new construction of the coloplast.