Synchronous colonic cancers
Diaconu, C.; Dogaru, C.; Scripcariu, V.; Stoian, M.; Dragomir, C.; Russu, I.; Pandrea, V.; Zugun, F.; Carasievici, E.; Mihailovici, M.-S.
Chirurgia 97(4): 351-355
2002
ISSN/ISBN: 1221-9118 PMID: 12731254 Document Number: 544345
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. 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. 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.