FIELD: medicine.
SUBSTANCE: invention refers to surgery and may be used for surgical management of left colon malignancies complicated by acute obturation intestinal obstruction. The malignancy is limited by a tampon. It is followed by appendectomy. A apparatus tip is mounted through an appendix stump into an intestine lumen and temporary fixed by purse-string sutures. Single-stage decompression is combined with clearwater colon sanitation. The tip is removed, and the appendix stump are immersed by two purse-string sutures. It is followed by mobilisation of the left colon from a medial approach in the lateral direction, ligation of main lymphovascular structures before the malignancy manipulations, D3-lymphodissection; the left colon and mesocolon are extracted en bloc.
EFFECT: method enables higher radicality of the surgical intervention, improving the remote results.
2 ex
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