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  • Title: [Surgical treatment of acute obstructing colorectal cancer: a report of 297 cases].
    Author: Wu LF, Liu LX, Xue DB, Zhang WH, Jiang HC.
    Journal: Zhonghua Wei Chang Wai Ke Za Zhi; 2005 Jan; 8(1):41-2. PubMed ID: 16148998.
    Abstract:
    OBJECTIVE: To evaluate surgical treatment of obstructing colorectal cancer. METHODS: From July 1993 to July 2003, clinical data of 297 cases undergoing emergency operation for obstructing colorectal cancer were analyzed retrospectively. There were 103 cases with right-sided lesion and 194 cases with left- sided lesion. RESULTS: All patients received emergency operation. Stage i tumor resection and anastomosis were performed in 126 patients including 98 cases with right- sided lesion and 28 with left- sided lesion, total or subtotal colectomy in 108,Hartmann operation in 36,Dixon operation in 9, ileocolic anastomosis in 11,and colostomy in 7 cases. Postoperative complications occurred in 53 cases (17.8% ) including incision infection, intraperitoneal infection and intestinal fistula. There were 17 perioperative deaths. Two hundred and eighty cases healed (94.3% ). CONCLUSION: Stage i tumor resection and anastomosis and total or subtotal colectomy are feasible and safe surgical procedures for obstructing colorectal cancers.
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