Survival after primary and after staged resection for large bowel obstruction caused by cancer

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Abstract
Of 388 patients with carcinoma of the large bowel, 90 presented with obstruction, In this group 50 patients (56 per cent) were treated by a curative resection, 22 by primary resection and 28 by staged resection. The prognosis was considerably better after primary resection than after staged resection. Crude 5-year survival figures are 50 and 25 per cent respectively. It is concluded that a prospective trial of immediate resection in the management of obstructing large bowel cancer seems justified.