Operations for Colon Obstruction

  • Jameson L. Chassin


Conventional wisdom indicates that, provided that there is no peritonitis, a reasonably good-risk patient who has been properly resuscitated can safely undergo an emergency right colectomy and ileocolic anastomosis. In this case one might expect, perhaps, a 3% rate of anastomotic leakage. However, there are very few published reports of large series of patients undergoing emergency surgery for complete right colon obstruction. Following curative resection of obstructed right colon cancer, Serpell and associates reported a postoperative mortality rate of 3.7%, compared with 14.3% for resections of obstructed left colon tumors. In their experience, resecting an obstructed right colon lesion was no more dangerous than resecting an unobstructed right colon cancer.


Left Colon Subtotal Colectomy Primary Resection Colon Obstruction Transverse Colostomy 
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  1. Kronberg O. The missing randomized trial of two surgical treatments for acute obstruction due to carcinoma of the left colon and rectum. Int J Colorect Dis 1986;1: 162–166.CrossRefGoogle Scholar
  2. Runkel NS, Schlag P, Schwarz V et al. Outcome after emergency surgery for cancer of the large intestine. Br J Surg 1991;78:183–188.PubMedCrossRefGoogle Scholar
  3. Serpell JW, McDermott FT, Katrivessis H, Hughes ESR. Obstructing carcinomas of the colon. Br J Surg 1989; 76:965–969.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

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