L’anastomosi primaria nell’occlusione colica neoplastica
A. Martino 1, F. La Rocca 1, G. Romagnuolo 1, A. Di Muria 1, P. Festa 1, G. Napolitano 1, R. Martino 1, F. Chianese 1
Affiliation
Article Info
1 U.O.C. Gastroenterologia ed Endoscopia Digestiva Direttore: Prof. A. Balzano), A.O.R.N. “A. Cardarelli” - Dipartimento Emergenza Accettazione - Napoli U.O.C. Chirurgia del D.E.A. (Direttore: Prof. G. De Sena) U.O.C. Trauma Center Direttore: Prof. A. Martino
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.
Keywords
- Primary anastomosis
- large bowel
- neoplastic obstruction