Emergency Resection and Reconstruction in Obstructive Colorectal Cancer

• Published in: Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) Vol. 25; no. 3; pp. 509 - 512
• Main Authors: Umeki, Masahiko, Ohishi, Tatsurou, Mori, Hiroki, Koyama, Takashi, Kitade, Takashi, Hatta, Takeshi, Takahashi, Hideyuki, Tanaka, Akiko, Omura, Atsushi, Chikakiyo, Motoya, Kurisu, Shigeru, Sugimoto, Takaki
• Format: Journal Article
• Language: Japanese
• Published: Japanese Society for Abdominal Emergency Medicine 2005; 日本腹部救急医学会
• Subjects: 一期的切除再建術; 大腸癌イレウス; 閉塞性大腸癌
• ISSN: 1340-2242; 1882-4781
• DOI: 10.11231/jaem1993.25.509

In conducting emergency resection and reconstruction in obstructive colorectal cancer in the last 17 years, we have treated 215 cases. Emergency resection and reconstruction were required in 158 cases (73.5%), and leakage occurred in only 5 (3.2%). Hartmann's operation was done in 42 cases of advanced carcinoma or very poor general condition. Colostomy was done in 9 and later resection in 5. Rectal amputation was done in 6, including 2 after transanal tube decompression. Surgical mortality was 1.9%, with 211 cases were discharged with remission.