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- W3189762900 abstract "Background: Subtotal colectomy with ileosigmoid or ileorectal anastomosis is one of the standard procedures for obstructed tumors of the left colon. Traditionally, left sided acute bowel obstruction is treated by a staged procedure because immediate resection and anastomosis in a massive distended and unprepared colon carries a high complication rate. One of the arguments for subtotal colectomy is that this procedure will remove synchronous proximal neoplasms and reduce the risk of subsequent metachronous tumor. The purpose of this study was to evaluate the procedure of subtotal colectomy in the management of acute obstructed carcinoma of the left colon as a single stage operation.Methods: From January 2009 to December 2011, this study included 60 consecutive patients who underwent emergency operations for obstructing primary left colorectal cancers with ileosigmoid or ileorectal anastomosis according to tumor position.Results: The site of left colon obstruction was the rectosigmoid in 24 patients (40%), sigmoid colon in 28 patients (46.6%), descending colon in 3 patients (5%), and the splenic flexure in 5 patients (8.3%). The histopathology was Dukes B2 in 15 patients (25%), Dukes C in 25 patients (41.66%), Dukes Din 20 patients (33.33%). Fifty six patients (93.33%) had an obstructing cancer. Four patients (6.66%) had synchronous tumors (caecum in two patients; hepatic flexure in one patient and transverse colon in one patient).Conclusion: This study has shown that patients who present with left sided colonic obstruction may be safely treated by primary resection and anastomosis with satisfactory outcomes." @default.
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- W3189762900 date "2012-01-01" @default.
- W3189762900 modified "2023-09-24" @default.
- W3189762900 title "Emergency subtotal/total colectomy in the management of obstructed left colon carcinoma" @default.
- W3189762900 doi "https://doi.org/10.21608/asjs.2012.179399" @default.
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