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  • Title: [Evaluation of operative risk in emergency treatment of neoplastic left colon obstruction: personal experience].
    Author: Lorusso C, Palazzo P, Merlicco D.
    Journal: Ann Ital Chir; 2005; 76(4):353-5. PubMed ID: 16550872.
    Abstract:
    AIM OF THE STUDY: To analyse the risk factors in the treatment of intestinal obstruction due to colorectal carcinoma. The treatment of neoplastic obstruction of the right colon until the splenic flexure is well defined: right hemicolectomy, enlarged right hemicolectomy. Otherwise the treatment of the obstruction due to left colon carcinoma beyond left flexure is not standardized. MATERIAL AND METHODS: The Authors report on a consecutive series of 15 patients, classified according to Colorectal Tumours Emergencies Score (CTES), based on the analysis of 4 risks factors: colic, perforation, serum albumin, concurrent cardiovascular disease, chronic renal insufficiency. Each patient has been ranked in three classes of risk: low (CTES < 4), moderate (CTES 4-12), and high (CTES > 12). CONCLUSIONS: Referring to this classification the Authors consider the choice of surgical treatment. When general conditions of the patient permit, it seems preferable to perform primary anastomosis.
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