Evaluation of operative risk in emergency treatment of neoplastic left colon obstruction: Personal experience

Main Article Content

Curzio Lorusso
Paola Palazzo
Domenico Merlicco
Michele Nacchiero

Abstract

AIM OF THE STUDY: 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.


MATERIAL AND 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.

Article Details

How to Cite
Lorusso, Curzio, et al. “Evaluation of Operative Risk in Emergency Treatment of Neoplastic Left Colon Obstruction: Personal Experience”. Annali Italiani Di Chirurgia, vol. 76, no. 4, July 2005, pp. 353-5, https://annaliitalianidichirurgia.it/index.php/aic/article/view/809.
Section
Case Report