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  • Title: [Primary anastomosis in the neoplastic colonic obstruction].
    Author: Martino A, La Rocca F, Romagnuolo G, Di Muria A, Festa P, Napolitano G, Martino R, Chianese F.
    Journal: Ann Ital Chir; 2002; 73(6):599-602; discussion 602-3. PubMed ID: 12820583.
    Abstract:
    The authors report their own experience on the treatment of large bowel obstruction caused by a neoplastic stenosis. During a 36-month period 110 operations for emergency large bowel obstructions were performed: 59 (53.6%) underwent primary anastomosis without colostomy (28 right colectomy, 16 left colectomy, 9 sub-total and 6 total colectomy). Total group post-operative mortality was 2.9% as a result of cardio-pulmonary complications. Morbidity was 19.8%, included a 3% of anastomotic leak underwent surgical treatment. Our results suggest that resection and primary anastomosis can be performed with acceptable morbidity and mortality in a high proportion of cases of emergency large bowel obstructions.
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