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Primary anastomosis in emergency surgery of left colon cancer.

INTRODUCTION
Colorectal cancers are second leading cause of death in Western countries. There are about 1500 deaths per year in Italy due to colorectal cancer in both sex 1.


MATERIALS AND METHODS
224 patients, 127 women (56.7%) and 97 men (43.3%) underwent colorectal resection with primary anastomosis (RPA) in emergency due to occlusive left colon cancer between 2010 and 2016. Patients had a mean age of 67.2 year a BMI inferior than 30 Kg/m2 in 215 cases (96%) and a history of cardiovascular disease in 112 (50%) cases.


RESULTS
All patients with a regular postoperative course have had no more than 10 days of hospitalization except for four who suffered postoperative ileus which solved after no more 15 days. We have had 24 (10.7%) cases of morbidity for generic causes and 12 cases (5.4%) of post-operative complications. Pneumonia, which occurred in 12 cases (5.4%), was the most frequent.


CONCLUSION
The ideal technique does not actually exist. RPA is, when feasible, advisable for occlusive neoplastic cases, ensuring a low percentage of morbidity and mortality and respecting patient's quality of life.