[Immediate results of surgical treatment of complicated colorectal cancer in elderly and senile patients.].

The work analyzes the results of surgical treatment of 545 elderly and senile patients with complicated forms of colon cancer. Among colon cancer complications frequently encountered acute intestinal obstruction (AIO) - 413 (75,8%), less likely to have been identified - perifocal inflammation (PPV) with abscess - 80 (14,7%), bleeding - 30 (5,5 %) and tumor perforation - 22 (4%). Operations on the colon were performed as a traditional method - 408 (74,9%) and with the use of endovideosurgical technologies - 137 (25,1%). 335 (61,5%) of radical, 50 (9,2%) palliative, 160 (29,3%) symptomatic operations were performed. Operations on the colon, performed for the development of cancer complications, were accompanied by a high mortality rate (22,9%) and a high incidence of postoperative complications (37,1%). The most frequent wound complications were 105 (19,3%) and pneumonia 67 (12,3%). The highest postoperative mortality was observed after operations for tumor perforation of colon cancer (59,1%). Endomedosurgical operations on the large intestine were accompanied by fewer postoperative complications (17,5%) and postoperative lethality (2,2%).