Abstract:Objective：To evaluate the treatment of colorectal carcinoma with acute colonic obstruction in the elderly.
Methods ：The clinical data of 116 elderly patients undergoing emergency operation for acute colonic obstruction due to colorectal carcinoma were analyzed retrospectively. The patients were treated in recent 5 years. There were 39 elderly patients with right-side colonic lesion, 64 cases with left-side colonic lesion and 13 elderly patients with rectal lesion. All patients received emergency operation. One stage tumor resection and anastomosis was performed in 39 cases with right-side colonic lesion and in 62 cases with left-side colonic lesion, Hartmann operation in 9 cases, Dixon operation in 4 cases and proximal colostomy in 2 cases.
Results：Postoperative complications occurred in 17 cases (14.7%), including wound infection, intraperitoneal sepsis and intestinal fistula. One hundred and fifteen cases recovered (99.1%), but there was one perioperative death.
Conclusions：Under certain conditions, one stage tumor resection is feasible and safe for acute colonic obstruction due to colorectal carcinoma in elderly patients.