Evaluation of Hartmann's Procedure in the Management of Acute Obstructed Left Colon Cancer compared to Resection with Primary Anastomosis and a Covering Ileostomy

Document Type : Review Article

Authors

1 Lecturer of General Surgery, Surgery Department, Faculty of Medicine, Port Said University, Egypt

2 Researcher at General Surgery Department, Faculty of Medicine, Portsaid Universty, Portsaid, Egypt

3 Professor of General Surgery, Surgery Department, Faculty of Medicine, Port Said University, Egypt

Abstract

Obstructed left-sided cancer colon is a major emergency surgical case with different means of management and it is known that colon cancer is the most common cause of colonic obstruction and this article explores different ways of surgical management of acute obstructed left colon cancer and how to achieve the best way of management for each patient.
The study aimed to evaluate postoperative outcomes of Hartmann's procedure versus resection with primary anastomosis and covering ileostomy in patients with acute obstructed left colon cancer. We also assessed complications and outcome of stoma reconstruction in both groups.
This study was retrospective observational study using convenience random sample, focusing on patients aged 18 or more who underwent Hartmann's procedure or resection with primary anastomosis with covering ileostomy in cases of acute obstructed left-sided cancer colon.
In conclusion, Hartmann's surgery is better for elderly patients who can't withstand lengthy procedures, whereas loop ileostomy is better for younger, healthy patients who can.

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