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KMID : 0371319920430020235
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Journal of the Korean Surgical Society
1992 Volume.43 No. 2 p.235 ~ p.243
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A Clinical Study of Patients with Acute Obstruction Secondary to Colorectal Carcinoma
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Abstract
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Colorectal carcinoma continues to be the most commonest cause of large bowel obstruction 2.18, 21, 24, 31 43 Surgical therapy must be directed primarily to the relief of bowel obstruction with definitive treatment of the colonic tumor occuring
simultaneously or subsequent to adequate decompression. Frequently, the procedure of choice in most patients with emergent condition is decompression before removal of lesion. But in the recent decades surgeons have become more aggressive
advocating
initial primary resection. In some cases, even without intestinal diversion. This study is a clinical analysis and review of 46 cases of patients with colonic obstruction secondary to colorectal carcinoma, among the 552 cases of patients with
colorectal
carcinoma were treated surgically at the Koryo General Hospital from 1970 to 1989.
@ES The results were as follows;
@EN 1) The ratio between male and female was 1.4 : 1 and the peak age incidence was 5th decade.
2) The most frequent symptoms was abdominal pain.
3) The duration of the symptoms prior to admission was from 1 to 7 days.
4) Of the segment distribution. The left colon was the most frequent site(45.7%). The rectum (30.4%) and the right colon were less (23.9%).
5) The operative procedure according to location was as follows; primary resection in 9 cases of the right colon and in 11 cases of the left colon. Staged resection was in 7 cases of left colon only.
6) The postoperative complications developed 15 cases(32.6%).
7) The operative mortality was 1 case and its cause was sepsis.
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