标题：COMPARISON OF ONE-STAGE MANAGEMENTS IN THE TREATMENT OF OBSTRUCTING LEFT-SIDED COLORECTAL CANCER: ENDOLAPAROSCOPIC APPROACH VS. EMERGENCY OPEN SURGERY (LETTER TO THE EDITOR)
摘要：Colorectal cancer is the third most common cause of cancer-related mortality in the whole world. About one-third of colorectal carcinoma patients with acute colonic obstruction mandate emergency surgery. Current surgical options include intraoperative lavage, colonic segment resection involved with primary anastomosis, subtotal colectomy, colostomy followed by resection, a two-stage procedure (Hartmann’s procedure) and permanent colostomy in advanced stages of the disease. Thus, major patients with malignant large-bowel obstruction need an emergency open surgery to relieve the obstruction and resect the tumor. However, temporary or permanent stomas were observed in many patients after the surgery, finally affecting their health-related quality of life. For patients with acute left-sided colorectal malignant obstruction, complications in elcetive surgery would be remarkably reduced than in emergency surgery.
