Surgery for Perforation Complicating Colon Cancers

Eleven patients with perforation complicating colon cancers were clinically analyzed with respect to perforation sites and surgical outcome. In general, perforations complicating colon cancers are divided into two categor ies, free perforation and penetration with abscess or fistula formation. It is emphasized that surgical outcome for free perforation is unsatisfactory. Therefore, two-stage operation is recommended and the aim of the treatment should be first concentrated on peritonitis. In conclusion, complete resection of carcinoma is necessary in obtaining a satisfactory result.

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