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From 1984 to 1990, 60 patients underwent emergent surgery for a neoplastic obstruction of the left colon. We performed 19 colostomies without initial exeresis and 41 immediate tumoral resections. In the latter group, five subtotal colectomies (S.T.C.) were performed, including four with immediate mechanical anastomosis. Two patients had synchronous cancers and three had pre-perforating cecal lesions. Three patients had an associated general peritonitis. Three of the patients treated with STC died. These were these patients with general peritonitis, two of whom also had hepatic metastases. The data found in the literature on neoplastic obstructions of the left colon treated with STC with immediate anastomosis (227 cases are published) show an overall mortality rate of 8.4% with 24% morbidity, a complication of the anastomosis occurring in 4.5% of all cases.
J C Patel, and
J F Renier, and
T De Cervens, and
C Hardy, and
A Favas, and
T Boukris, and
Y Orzelski, and
P Candau, and
P Guesnon
January 1989,
Minerva chirurgica,
J C Patel, and
J F Renier, and
T De Cervens, and
C Hardy, and
A Favas, and
T Boukris, and
Y Orzelski, and
P Candau, and
P Guesnon
January 2005,
Annali italiani di chirurgia,
J C Patel, and
J F Renier, and
T De Cervens, and
C Hardy, and
A Favas, and
T Boukris, and
Y Orzelski, and
P Candau, and
P Guesnon
March 1987,
Wiadomosci lekarskie (Warsaw, Poland : 1960),
J C Patel, and
J F Renier, and
T De Cervens, and
C Hardy, and
A Favas, and
T Boukris, and
Y Orzelski, and
P Candau, and
P Guesnon
August 1987,
Journal of surgical oncology,
J C Patel, and
J F Renier, and
T De Cervens, and
C Hardy, and
A Favas, and
T Boukris, and
Y Orzelski, and
P Candau, and
P Guesnon
January 1999,
Annales de chirurgie,
J C Patel, and
J F Renier, and
T De Cervens, and
C Hardy, and
A Favas, and
T Boukris, and
Y Orzelski, and
P Candau, and
P Guesnon
September 2006,
International journal of colorectal disease,
J C Patel, and
J F Renier, and
T De Cervens, and
C Hardy, and
A Favas, and
T Boukris, and
Y Orzelski, and
P Candau, and
P Guesnon
January 1999,
Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland,
J C Patel, and
J F Renier, and
T De Cervens, and
C Hardy, and
A Favas, and
T Boukris, and
Y Orzelski, and
P Candau, and
P Guesnon
February 1968,
American journal of surgery,
J C Patel, and
J F Renier, and
T De Cervens, and
C Hardy, and
A Favas, and
T Boukris, and
Y Orzelski, and
P Candau, and
P Guesnon
July 1994,
Diseases of the colon and rectum,
J C Patel, and
J F Renier, and
T De Cervens, and
C Hardy, and
A Favas, and
T Boukris, and
Y Orzelski, and
P Candau, and
P Guesnon
March 1983,
American journal of surgery,
