[An analysis of postoperative mortality in patients with large-intestine occlusive ileus due to tumor origin]

A total of 232 patients presenting occlusive ileus caused by colorectal carcinoma undergo operative treatment in the period 1979 through 1990. In 160 of them the tumor is located in the colon, and in seventy-two--in the rectum. One-hundred twenty-two radical and 110 palliative operations are performed (52.58 and 47.42 per cent, respectively). Postoperative lethality amounts to 24.57 per cent, with underlying causes peritonitis (35.08%) and severe ileus intoxication (21.05%). The causes of postoperative lethality are analyzed with a special reference to tumor location, extensiveness of the surgical intervention, clinical course of the disease, concurrent complications and concomitant diseases. The lowest is the mortality rate following radical two-stage operations with removal of the neoplasm in the first stage.