Management of left-sided colonic obstruction by subtotal colectomy and ileocolic anastomosis.
OBJECTIVE
To assess complications and functional results of emergency subtotal colectomy with ileocolic anastomosis for acute left-sided colonic obstruction.


METHODS
Retrospective study.


METHODS
University hospital, Netherlands.


METHODS
37 patients with acute left-sided colonic obstruction.


METHODS
Emergency subtotal colectomy with immediate anastomosis (n = 20), Hartmann's procedure (n = 13) or double-loop transverse colostomy (n = 4).


METHODS
Mortality, morbidity, duration of hospital stay, frequency of defecation, and continence.


RESULTS
Morbidity after subtotal colectomy was 10% (n = 2) and mortality 0. There was one anastomotic dehiscence that required a temporary ileostomy. Mean hospital stay was 15 days (range 10-31). All had adequate continence. After 6 weeks mean frequency of defecation was 3/24 hrs (range 2-6). 9 patients died within 2 years of metastatic disease.


CONCLUSIONS
Subtotal colectomy with ileocolic anastomosis is a suitable procedure for treating left-sided colonic obstruction provided that pelvic floor function is adequate and a skilled surgeon is available.
Department of Surgery, Diakonessenhuis Eindhoven, Recklinghausen, Germany.
P H
PH
Reemst
H C
HC
Kuijpers
T
T
Wobbes
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D003082:Colectomy / Q000379:methods* / Q000401:mortality; D003106:Colon / Q000601:surgery*; D003108:Colonic Diseases / Q000601:surgery*; D004630:Emergencies; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D007415:Intestinal Obstruction / Q000601:surgery*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies