Colorectal cancer complicated by obstruction: intestinal stoma or primary anastomosis?
Colorectal cancer (CRC) is one of the most common malignant tumors with increase in morbidity. Since this disease is often diagnosed in advanced stages more than 60% of cases have complications, the most common of them is obstruction. The presence of intestinal obstruction has a direct impact on the type and scope of surgery and almost always ends with the formation of intestinal stoma. Because of significant shortcomings of intestinal stomas for a patient, in the presence of obstruction some surgeons have resorted to the formation of primary colonic anastomoses. The key in this case is the state of the colon wall and adequate its purification from faeces and gases by means of various techniques of intraoperative colonirrigation. This work is devoted to the analysis of literature on intestinal obstruction of tumor genesis. However it does not relate to issues with decompensated bowel obstruction when the formation of intestinal stoma is not in doubt.