title: [Obstructive left colonic cancer. Retrospective analysis of the therapeutic attitude in a series of 40 recent cases].
abstract: In a series of 40 cancers involving the descending and sigmoid colon and producing true acute obstruction, the following were performed: 16 colostomies of first intention (including 11 palliative); 14 resections with colostomy (Hartmann type); 9 resection-anastomoses (including 3 protected); 1 attempt at laser treatment for non consent to surgery. Only 22 patients were theoretically suitable for anastomosis (18 contraindications due to invasive cancer or peritonitis); this was in fact carried out in 9 cases. Thus, if single stage surgery represents the ideal, it cannot be systematically applied; on the other hand, tumor resection can often be performed. It would seem that the use of per-operative colonic lavage can increase the percentage of single stage surgery, though there will always be a place for Hartmann or Bouilly-Volkmann type procedures, future reestablishment of continuity being facilitated by the use of surgical staples (EEA type).
authors.forename: J C
authors.initials: JC
authors.lastname: Patel
authors.forename: T
authors.initials: T
authors.lastname: De Cervens
authors.forename: J F
authors.initials: JF
authors.lastname: Renier
authors.forename: O
authors.initials: O
authors.lastname: Goeau-Brissonniere
authors.forename: P
authors.initials: P
authors.lastname: Journeau
authors.forename: J
authors.initials: J
authors.lastname: Orzelski
authors.forename: A
authors.initials: A
authors.lastname: Farah
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003108:Colonic Diseases / Q000209:etiology / Q000601:surgery*; D003110:Colonic Neoplasms / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
vernacular_title: Cancers du côlon gauche en occlusion. Analyse retrospective de l'attitude thérapeutique adoptée dans une série de quarante observations récentes.