Surgicalt reatment for acute obstruction caused by primary left colorectal carcinoma in the elderly:a report of 103 cases
Abstract：Objective To investigate the effects of surgical managements of acute obstruction caused by pri -mary left colorectal carcinoma in the elderly .Methods Clinical data of 103 patients with acute obstruction caused by primary left colorectal carcinoma , who were treated by emergent operation in the people′s hospital of Zhengzhou from January 2008~January 2012 , were retrospectively analyzed .Results Of 71 patients with left colon carcinoma , 26 received one stage tumor resection and anastomosis , 19 received Hartmann operation , 7 were performed colostomy and then tumor resection , and only 19 patients who had celiac metastasis received colostomy .Of 32 patients with rectal carcinoma received emergency operation , 5 received preoperative stent insertion and Dixon operation , 16 received Hartmann operation , and only 11 patients with celiac metastasis were performed colostomy .As postoperative compli-cations, incision infection occurred in 6 cases and intestinal fistula in 6 cases.Otherwise, 2 patients died for pneu-monia.Conclusion Dissolving those obstructions and saving patients′life was the key for surgical treatment of acute obstruction caused by primary left colorectal carcinoma in the elderly .Surgical treatment should be considered as the first choice , and the selection of appropriate surgical methods should be dependent on the patients ′illnesses and re-gional medical conditions .
Keywords：Colorectal carcinomaAcute obstructionSurgical treatment
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1056-1058 )