LARGE BOWEL OBSTRUCTION DUE TO CARCINOMA OF ΤΗΕ COLON
Abstract
The aim of this retrospective study was to compare the overall outcome of our surgical intervention of patients suffering from acute intestinal obstruction due to carcinoma of the colon with that reported by others in litereture. Between 1978-86, 23 patients suffering from acute large bowel obstruction due to an adenocarcinoma were urgently operated on and subjected to various operations while one of them operated on again for acute bowel obstruction due to metachronic carcinoma. Ιn all cases a radical operation (rejection of the tumour) was feasible and in 13 only procedures palliative could be performed. 4/23 patients (17%) died in the immediate post-operative period. 11/19 (53%) patients underwent a second operation, 5 of them for restoration of the bowel continuity and 6 for rejection of the tumour. Dukes' classification (either histologically or preoperatively) was obtained in all cases. 1/24 could be considered as Dukes A, 7/24 as Dukes Β, 11/24 as Dukes C, while 5 had distant metastases. From this series it js obvious that large bowel obstruction by carcinoma does not necessarily mean advanced disease (8/24, 33%) although more than half of the cases were so, (16/24, 66%). It was also found that in half of the cases the tumour was rejectable at original operation and that in half of those who underwent a palliative original operation, rejection of the tumour could be easily performed at a second stage (rejectability of the tumour 19/24, 79.1%). These results and the overall morbidity showed no differences from those non selected series reported in the literature.References
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