Modern approaches to surgical treatment of patients with locally advanced colon tumors complicated by necrosis

The study included 68 patients with locally advanced colon tumors and histologically verified necrosis. The control group of the study (n 43) consisted of patients who were treated using traditional tactics and operational approaches. The main group (n 25) included patients whose probability of tumor necrosis was predicted on the basis of the previously developed algorithm. The basis of operative surgery in patients of the main group was based on the principles of embryologically justified surgery, compliance with which ensured the effective use of visceral rotations in the planes of the embryonic layers, as well as the use of an extrafascial approach to achieve tumor-negative resection boundaries. Surgical intervention time in patients of the main group decreased to 222.9668.98 minutes, while in the control group it was 321.5169.72 minutes. A similar trend identified in the evaluation of the average volume of intraoperative blood loss, which in the main group decreased to 525,92163,63 ml, in control group this indicator amounted to 962,79127,63 ml...