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[Our experience with emergency surgery in cancer of the large intestine]
Abstract:
The experience concerning 44 cases of large intestine cancer operated in emergency is reported. For the right colon perforated cancers, the surgical solution effected is hemicolectomy and immediate anastomosis for the cases with smallest contamination, hemicolectomy with ileostomy and colonic mucous fistula for the cases with diffused peritonitis. As to left colon perforated cancers, the operations performed are rectocolonic resection according to Hartmann and resection with anastomosis of colonic ends to cutis, depending on the place of the perforated neoplasm. For right colon cancers in occlusive stage, hemicolectomy is performed, whereas, for left colon ones, rectocolectomy according to Hartmann is effected. The postoperative mortality was 16,6%, the percentage of complications was 25% for right colon cancers and 27,7% for left colon ones.