[Surgical treatment results in colonic obstruction].
Between 1982 and 1988 94 patients with obstruction of the colon were operated (52 male, 42 female, median age 66 years). Carcinoma accounted for the majority of cases: in 51% of patients enteral, in 9% local tumor growth extraenteral, in 17% peritoneal carcinosis. Therapeutic procedures were chosen according to the necessities in benign courses and in extraenteral tumor growth. In obstructing colorectal carcinoma (48 patients) a policy of primary tumor resection was pursued. 48 patients (40%) developed postoperative complications, 3 patients (3.1%) had to be reoperated. The overall mortality rate in patients with acute obstructions of all courses was 9.6%, in patients with obstruction secondary to carcinoma 14.6%. 74% of patients with colorectal tumors had TNM tumor stage III and IV. The 5-years-survival rate amounted to 21% overall, but after primary tumor resection it was 47%.
Roscher
R
R
Abteilung für Allgemeinchirurgie, Universität Ulm/Donau.
Frank
R
R
Wagner
R
R
Safi
F
F
Beger
H G
HG
D000368:Aged; D003108:Colonic Diseases / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D003110:Colonic Neoplasms / Q000150:complications / Q000401:mortality / Q000601:surgery; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications; D011379:Prognosis; D012086:Reoperation
Chirurgische Behandlungsergebnisse beim Dickdarmileus.