title: [Primary anastomosis in the neoplastic colonic obstruction].
abstract: The authors report their own experience on the treatment of large bowel obstruction caused by a neoplastic stenosis. During a 36-month period 110 operations for emergency large bowel obstructions were performed: 59 (53.6%) underwent primary anastomosis without colostomy (28 right colectomy, 16 left colectomy, 9 sub-total and 6 total colectomy). Total group post-operative mortality was 2.9% as a result of cardio-pulmonary complications. Morbidity was 19.8%, included a 3% of anastomotic leak underwent surgical treatment. Our results suggest that resection and primary anastomosis can be performed with acceptable morbidity and mortality in a high proportion of cases of emergency large bowel obstructions.
authors.affiliation: A.O.R.N. A. Cardarelli, Dipartimento Emergenza Accettazione, Napoli.
authors.forename: A
authors.initials: A
authors.lastname: Martino
authors.forename: F
authors.initials: F
authors.lastname: La Rocca
authors.forename: G
authors.initials: G
authors.lastname: Romagnuolo
authors.forename: A
authors.initials: A
authors.lastname: Di Muria
authors.forename: P
authors.initials: P
authors.lastname: Festa
authors.forename: G
authors.initials: G
authors.lastname: Napolitano
authors.forename: R
authors.initials: R
authors.lastname: Martino
authors.forename: F
authors.initials: F
authors.lastname: Chianese
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods; D015179:Colorectal Neoplasms / Q000150:complications*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies