Cancer of the right half of the colon: clinical aspects, diagnosis and immediate results of surgical treatment
Vorob'ev, G.I.; Zhuchenko, A.P.; Salamov, K.N.; Khorunzhiĭ, A.P.
Vestnik Khirurgii Imeni I. I. Grekova 144(5): 42-46
1990
ISSN/ISBN: 0042-4625 PMID: 1702243 Document Number: 362154
Carcinoma of the right half of the colon (CRHC) is diagnosed in 21-35% of patients with colorectal carcinomas. The Research Institute of Proctology of the RSFSR Ministry of Health has an experience with treatment of 338 patients with CRHC. Most of them (84.9%) were admitted to the clinic with advanced forms of the disease because of poor clinical manifestations at early stages of the disease and resulting in late consultations with the doctor. Surgical treatment was performed in 332 patients. The operation of choice for locally removable tumors of the right half of the colon still remains right-side hemicolectomy. For locally spread CRHC combined operations are thought to be expedient. Immediate results of the surgical treatment of CRHC by the correct curative methods are perfectly favorable, the amount of postoperative complications was 14.5%, lethality--6.6%.