The treatment of acutely obstructed carcinoma of the left colon still represents a matter of controversy. 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 (1). The cumulative morbidity and mortality of staged procedures, however, are about as high, which has justified a more aggressive approach (1). Increasingly, studies have been published advocating the advantages of primary resection with immediate anastomosis after decompression and cleansing of the obstructed colon (2,3) The potential benefits include shorter hospital stay, reduced mortality and morbidity rates, and avoidance of a stoma, These advantages, however, have been claimed on the basis of selected patients,The aim of this study is to review our results of emergency subtotal colectomy with immediate anastomosis without diversion for acute obstructed carcinoma of the left side of the colon and report our experience.
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