Abstract:Objective:To study the surgical managements for obstructive coleratal carcinoma(OCRC). Methods:Clinical data of 126 patients with OCRC who underwent surgical treatment between January 1995 and December 2004 were reviewed. Results:Thirty-five patients received one-stage right hemicolectomy, ten patients received one-stage resection of transverse colon. forty-eight patients received one-stage left hemicolectomy, eighteen patients received one-stage resection of left colon or proximal rectum with colostomy followed by two-staged anastomosis. For 15 patients with unresectable lesions, colostomy of transverse colon or sigmoid colon was performed. Seventeen patients (13.5%) experienced postoperative complications. The operative mortality was 4.8%(6/126). The 1-year, 3-year and 5-year overall survival rate was 95.1%, 52.7% and 38.1%, respectively. Conclusions:Proper perioperative period managements and selection of surgical techniques are important for better results and lower complications in the treatment OCRC.