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Updated: Aug 9, 2026
Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
[Evaluation of operative risk in emergency treatment of neoplastic left colon obstruction: personal experience]
Curzio Lorusso1, Paola Palazzo, Domenico Merlicco
1Unità Operativa di Chirurgia Generale "A. De Blasi" D.A.C.T.I., Sezione di Chirurgia Generale e Toracica, Università degli Studi di Bari.
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.
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