INTRODUCTION: Subtotal colectomy and ileo-sigmoid or ileo-rectal anastomosis is a treatment wort of considering in patients affected by colonic neoplastic obstruction, as it shows low morbidity and mortality, and good results. CASE REPORT: A case of bowel obstruction due to a stenotizing neoplasm of sigmoid colon is reported. The obstruction causes severe dilation before the stricture), particularly accentuated in the cecum, which showed very reduced wall thickness and initial signs of ischaemia. Staplers (GIA 75 and EEA 31) were employed to perform a quick and aseptic (removal of a closed specimen) surgical procedure, subtotal colectomy and L-T ileo-rectal anastomosis. CONCLUSIONS: According to personal experience, benefits and disadvantages related to its surgical options are considered by the Authors.