CLINICAL AND STATISTICAL GROUPS OF PATIENTS WITH OBTURATIVE COLONIC OBSTRUCTION CANCER
Aim. To identify the various epidemiological aspects in patients with acute intestinal obstruction in cancer of the left colon. Materials and methods. The basis of the research is based on retrospective and prospective analysis of treatment of 2200 patients with cancer of the left half of the colon hospitalized in GBUZ “Aleksandrovskaya hospital” St.-Petersburg for 2003-2012. The data obtained were entered into a spreadsheet, which was subsequently subjected to statistical analysis. Results. Were men and 973 (44,2%), women - 1227 (55,8%). Patients older than 60 years - 75,3%. The majority of patients (70,4%) delivered within 48-72 hours from the onset of the disease. The severity according to APACHE-II only 21,3% of patients were rated below 15 points. At 88.7% of patients, operative and anesthesiological risk was consistent with IV-V degree. Various comorbidities were found in 97,7% of patients. Each patient had a 1,8 associated complications. Most often the tumor is in the sigmoid colon (39,4%), 22% of the tumour was in the rectosigmoid Department. In 18% of cases it was located in the descending colon. At about the same frequency was found a lesion of the left third of the transverse colon and rectum (about 5%). A tumor of the splenic flexure was diagnosed in one patient 10. Conclusion. The data obtained should be taken into account in the daily work planning inspection scope, choice of tactics of conducting patients.