[Practical approach to tumoral perforations of cancers of the colon. Apropos of 7 cases].
In 4 to 5% of cases, the cancer of large bowel is presented with a perforation in situ. The mortality rate in these conditions is high, and it is evaluated in the literature between 40 to 50% of cases. The authors present their experience with 7 consecutive patients, operated for this complication. In all cases, the tumour is excised: in 6 patients, terminal colostomy is realised while one patient only had a direct resection anastomosis. No per-operative mortality, was noted, and in four patients retauration of intestinal tract is realised, within 3 to 6 months latter. In our experience, the perforated tumour does not appear as a factor of immediate gravity.
Service de Chirurgie Générale et Digestive, Hôpital Charles Nicolle, Rouen.
C
C
Ramaroson
J L
JL
Manouvrier
M
M
Scotté
I
I
Leblanc
F
F
Michot
P
P
Ténière
D000230:Adenocarcinoma / Q000150:complications* / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002429:Cecal Diseases / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D003082:Colectomy; D003108:Colonic Diseases / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D003110:Colonic Neoplasms / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged
D000900:Anti-Bacterial Agents
Attitude pratique devant les perforations tumorales des cancers du colon. A propos de 7 cas.