L’anastomosi primaria nell’occlusione colica neoplastica


COD: 2002_06_599-604 Categorie: ,

A. Martino, F. La Rocca, G. Romagnuolo, A. Di Muria, P. Festa, G. Napolitano, R. Martino, F. Chianese

Ann. Ital. Chir., LXXIII, 6, 2002

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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 mtreatment. Our results suggest that resection and primary anastomosiscan be performed with acceptable morbidity and mortalityin a high proportion of cases of emergency large bowelobstructions.