[Evaluation of operative risk in emergency treatment of neoplastic left colon obstruction: personal experience].
OBJECTIVE
To analyse the risk factors in the treatment of intestinal obstruction due to colorectal carcinoma. The treatment of neoplastic obstruction of the right colon until the splenic flexure is well defined: right hemicolectomy, enlarged right hemicolectomy. Otherwise the treatment of the obstruction due to left colon carcinoma beyond left flexure is not standardized.


METHODS
The Authors report on a consecutive series of 15 patients, classified according to Colorectal Tumours Emergencies Score (CTES), based on the analysis of 4 risks factors: colic, perforation, serum albumin, concurrent cardiovascular disease, chronic renal insufficiency. Each patient has been ranked in three classes of risk: low (CTES < 4), moderate (CTES 4-12), and high (CTES > 12).


CONCLUSIONS
Referring to this classification the Authors consider the choice of surgical treatment. When general conditions of the patient permit, it seems preferable to perform primary anastomosis.
Lorusso
Curzio
C
Unità Operativa di Chirurgia Generale "A. De Blasi" D.A.C.T.I., Sezione di Chirurgia Generale e Toracica, Università degli Studi di Bari.
Palazzo
Paola
P
Merlicco
Domenico
D
D002318:Cardiovascular Diseases / Q000150:complications; D003082:Colectomy; D003085:Colic / Q000150:complications; D003108:Colonic Diseases / Q000209:etiology / Q000601:surgery*; D003110:Colonic Neoplasms / Q000150:complications*; D004630:Emergencies; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007416:Intestinal Perforation / Q000150:complications; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D012307:Risk Factors; D012709:Serum Albumin / Q000032:analysis
D012709:Serum Albumin