Ways to improve the effectiveness of a multidisciplinary approach in surgical treatment of patients with locally advanced colon tumors complicated by necrosis

The peculiarity of surgical treatment of patients with locally advanced colon tumors complicated by necrosis is the need to solve two problems: the elimination of life-threatening complications, and the need to ensure radicalism of surgery. Achievement of R0-resection in patients with locally advanced malignant neoplasms of the colon creates the necessary conditions for effective adjuvant therapy and, as a consequence, improvement of long-term results of treatment of this category of patients. The literature data, both domestic and foreign, do not allow to judge unambiguously not only the appropriateness of this tactical approach, but also the technical feasibility of performing radical combined surgical interventions in patients with locally advanced colon tumors complicated by necrosis. The use of preoperative planning of surgical intervention on the basis of radiological data, as well as the introduction in surgical practice principles of embryologically reasonable operative surgery, will significantly increase the radicalism of the surgical intervention and to improve the immediate results of such operations. The article presents a clinical observation, which shows a multidisciplinary approach in surgical treatment of a patient with locally advanced tumor of the hepatic bend of the colon, complicated by necrosis.