Low preoperative serum albumin in colon cancer: a risk factor for poor outcome.
Lai C.C., You J.F., Yeh C.Y., Chen J.S., Tang R, Wang J.Y., Chin C.C.
Int J Colorectal Dis. 2010 Dec 29. [Epub ahead of print]
PMID: 21190025 [PubMed - as supplied by publisher]

CONCLUSIONS: Hypoalbuminemia is a predictor of poor surgical outcomes of colon cancer and is a poor prognosis factor for long-term survival of colon cancer after curative operation.


Guidelines in the Management of Obstructing Cancer of the Left Colon: Consensus Conference of the World Society of Emergency Surgery (WSES) and Peritoneum and Surgery (PnS) Society.
Ansaloni L, Andersson R.E., Bazzoli F, Catena F, Cennamo V, Di Saverio S, Fuccio L, Jeekel H, Leppaniemi A, Moore E, Pinna A.D., Pisano M, Repici A, Sugarbaker P.H., Tuech J.J.
World J Emerg Surg. 2010 Dec 28;5(1):29. [Epub ahead of print]
PMID: 21189148 [PubMed - as supplied by publisher] Free Article

CONCLUSIONS: Loop colostomy and staged procedure should be adopted in case of dramatic scenario, when neodjuvant therapy could be expected. Hartmann's procedure should be performed in case of high risk of anastomotic dehiscence. Subtotal and total colectomy should be attempted when cecal perforation or in case of synchronous colonic neoplasm. Primary resection and anastomosis with manual decompression seems the procedure of choice. Colonic stents represent the best option when skills are available. The literature power is relatively poor and the existing RCT are often not sufficiently robust in design thus, among 6 possible treatment modalities, only 2 reached the Grade A.

 

Updated January 4, 2011