Problems of staging of complicated forms of colon cancer

Abstract

Operations for complicated forms of colon cancer occupy a leading place in the structure of emergency surgical interventions. We analyzed the data of 71 (100 %) patients treated in the surgical department for complicated forms of colorectal cancer. In 44 (61.97 %) patients, moderately differentiated adenocarcinoma of the colon was detected, in 25 (35.21 %) - low-differentiated, and in 2 (2.82 %) - highly differentiated. In the case of surgical interventions for complicated forms of colon cancer, minimal volume lymphadissection (D1) was performed in 54 (76.06 %) patients, without lymph node removal - in 17 (23.94 %) patients, which does not allow to assess the real picture of metastatic lesions of regional lymph nodes and to set the correct TNM stage. In the structure of oncopathology staging, in 12 (16.90%) patients the stage of cancer was determined only by the criterion of the degree of invasion (T), in another 5 (7.04%) - only by the data of instrumental examination and intraoperative revision (clinically), which in turn affects the prognosis of recurrence and survival of the patient, and the tactics of postoperative treatment.