Obstructive colonic cancer

The records of 121 patients with obstructing cancer of the colon were reviewed. About one-third of the patients had metastatic disease at the time of operation. Primary resection and anastomosis of the intestine was performed for most cancers of the ascending or transverse colon. Hartmann's pro...

Full description

Saved in:
Bibliographic Details
Published inJournal of the Royal College of Surgeons of Edinburgh Vol. 38; no. 5; p. 296
Main Authors Papachristodoulou, A, Zografos, G, Markopoulos, C, Fotiadis, C, Gogas, J, Sechas, M, Skalkeas, G
Format Journal Article
LanguageEnglish
Published Scotland 01.10.1993
Subjects
Acute Disease
Adenocarcinoma - complications
Adenocarcinoma - mortality
Adenocarcinoma - surgery
Aged
Colonic Neoplasms - complications
Colonic Neoplasms - mortality
Colonic Neoplasms - surgery
Female
Humans
Intestinal Obstruction - etiology
Intestinal Obstruction - mortality
Intestinal Obstruction - surgery
Male
Middle Aged
Prognosis
Surgical Wound Infection
Treatment Outcome
Online AccessGet more information

Cover

More Information
Summary:The records of 121 patients with obstructing cancer of the colon were reviewed. About one-third of the patients had metastatic disease at the time of operation. Primary resection and anastomosis of the intestine was performed for most cancers of the ascending or transverse colon. Hartmann's procedure was performed in most patients with cancer of the sigmoid colon and rectum. Wound infection occurred in 20 patients (16.5%) and anastomotic leakage in six (4.9%). The operative mortality rate was 14.9%. The 5-year survival rate was 13.5%. Acute colonic obstruction is associated with high morbidity and mortality. The high incidence of advanced disease, advanced age, delay in tumour excision and unprepared bowel are some of the factors resulting in the poor prognosis of these patients.
ISSN:0035-8835