INDIVIDUALIZATION OF THE CHOICE OF DECOMPRESSION STOMAS AND THE PLACES OF THEIR FORMATION IN PATIENTS WITH COLORECTAL CANCER COMPLICATED BY ACUTE OBSTRUCTION AS A METHOD FOR PREVENTING POSTOPERATIVE COMPLICATIONS AT ALL STAGES OF TREATMENT

Abstract

Objective: to reduce the number of early postoperative inflammatory complications and deaths in patients with colon cancer complicated by acute obstruction by individualizing indications for choosing the type of decompression stomas, their location, as well as improving existing methods.
Material and methods: The article presents the results of application in 259 patients with colon cancer complicated by acute obstruction of various decompression stomas. The main group included 183 patients in whom a new individualized approach and methods of treatment were used when choosing the type of stoma. The second, control group, included 76 patients who had unloading stomas placed without taking into account the localization of the tumor, anthropometric and topographic anatomical features, as well as the degree and type of obesity.
Results: as the results of the study showed, after the imposition of double-barreled unloading transversostomas through the mini-access significantly less often than with the imposition of ileostomas, inflammatory complications, lethal outcomes develop, less often the probability of refusal to perform them.
Conclusion: the choice of the type of ileostomy, as well as the transverse one, should be individualized taking into account the anthropometric, anatomical and topographic features of the abdominal wall and intestines, the degree of thickness of the anterior abdominal wall and the type of obesity, and using new methods and technologies developed in the clinic.