Methods of improving results of scheduled surgery on colorectal cancer in patients at old age
Abstract
The paper analyzes the results of surgery in 455 patients at old (60-74 years) and elderly (75 years and more) ages suffering from colon cancer. In an effort to objectify the estimation of the patients’ state and influence of a complex of associated diseases upon the perioperative period, the authors have assessed the risk for post-operative complications and lethality using the modified POSSUM scale and modified Glasgow Prognostic Score (mGPS). As shown, maintaining the diagnostic and treatment algorithm and standards for antibiotic prophylaxis allow decreasing the number of post-operative complications in patients at old age and achieving rather good results of the surgical recovery by implementing radical resections and primary anastomosis, even in case of complicated forms of the neoplastic process.
About the Authors
V. G. Rapovka
Vladivostok State Medical University
Russian Federation
Russian Federation
S. E. Gavrina
Primorsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
A. F. Ponomarev
Vladivostok State Medical University
Russian Federation
Russian Federation
E. S. Rogatkina
Primorsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
L. S. Denisenko
Primorsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
O. K. Shkouratova
Primorsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
O. A. Sobolevskaya
Vladivostok State Medical University
Russian Federation
Russian Federation
S. P. Ivanov
Primorsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
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Review
For citations:
Rapovka V.G., Gavrina S.E., Ponomarev A.F., Rogatkina E.S., Denisenko L.S., Shkouratova O.K., Sobolevskaya O.A., Ivanov S.P. Methods of improving results of scheduled surgery on colorectal cancer in patients at old age. Pacific Medical Journal. 2012;(4):39-42. (In Russ.)
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