Obstructing left-sided colon carcinoma. Appraisal of surgical options.
This study is a retrospective analysis over a 10-year period of 37 patients who presented with a large bowel obstruction secondary to a left-sided colon cancer. Our patients were confined to those with clinical evidence of acute obstruction with lesions located from the mid-transverse colon to the rectum. Thirty-eight per cent of these lesions occurred at the sigmoid level. We found 70 per cent of these lesions were treated with resection at their initial operation. Eighty-one per cent of all lesions were classified as Duke's C or D. There was a 33 per cent 5-year survival. These patients were evaluated for their initial surgical therapy and subsequent mortality and morbidity.
D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000401:mortality / Q000601:surgery*; D003108:Colonic Diseases / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D003110:Colonic Neoplasms / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies