Background: In recent years, several reports in the world in favor of is one-stage resection and anastomosis of acute complete obstruction of the colon for cancer, there are both advantages resolve complications are treated just the same cause in the surgery, reducing waiting time and hospital stay, reduced complications from the surgery many patients and particularly avoid personnel to carry out. Objective: This study aimed to draw the experience in the treatment of intestinal obstruction due to coloncancer by comparing the results obtained by these methods. Subjects and Methods: Including the case of intestinal obstruction caused by the tumor Trusted longer cut, surgical treatment at Bach Mai Hospital from 2008 to 2012, records in a fonn full medical unifonn. The remaining cases surgical resection is the Trusted without distant metastases, have not seen peritoneal metastases, in place not too invasive or not invasive into the adjacent organs. Results: Consists of 90: male patients accounted for 63.3 percent, accounted for 36.7 percent female. Of the remaining 74 patients were is 58 percent surgical one-stage and 42 percent second then surgery. 32.4 percent of right colon, 67.6 percent of left colon. The complications in the group 1 is: 4.05 percent, group 2 it was 13.5 percent. The mortality rate in group 1 is 1.35 percent, in group 2 it was 4.05 percent. Conclusion: Surgery is the first treatment of intestinal obstruction due to colorectal cancer is effective and safe when appropriate patient selection and surgeon experience.