Surgical management of left carcinomatous colonic obstruction
Huang Xiangcheng
Wu Chengtang
Abstract：Objective To evaluate the diagnosis and management of left carcinomatous colonic obstruction. Methods Fifty - sixcases of left carcinomatous colonic obstruction in our hospital from 1989 to 1998 were analysed. Results Left carcinomatous colonic ob-struction (56 cases) accounted for 67% of all carcinomatous colonic obstruction (84 cases). The obstructive site occured at splenic flex-ure of colon ( 10 cases), descending colon (2 cases), sigmoid colon (21 cases) or rectum (23 cases). The number ofleft carcinomatouscolonic obstruction with pathological grading of Duks B, C1, C2, and D was in 5, 23, 19 and 6 respectively. There were 38 adenocarcino-ma 6 mucoid adenocarcinoma, 5 poor differentiated adenocarcinoma, 4 undifferentiated adenocarcinoma, 2 signet cell cancer and 1 lym-phoma. Forty- four cases were resected by Hartmann's operation. Three and 7 cases underwent laparocolostomy and single- stage rsec-tion anastomosis respectively. Conclusion Left earcinomatous colonic obstruction was late stage cancer requiring surgical management.Hartmann' s procedure was a safe and effective operative management.
Keywords：Colonic carcinoma Intestinal obstruction Hartmann
Publication Date：2000-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 722-723 )