Reviewing the management of obstructive left colon cancer: Assessing the feasibility of the one-stage resection and anastomosis after intraoperative colonic irrigation

Abstract Background The management of obstructive left colon cancer (OLCC) remains debatable with single stage procedure of primary colonic anastomosis after cancer resection and on-table intracolonic lavage now being supported. Methods Acute OLCC patients admitted between January 2008 and January 2015 were distributed in five different groups. Group ICI underwent emergency laparotomy for primary anastomosis following colonic resection and intraoperative colonic lavage; Group HP for emergency Hartmann’s Procedure; Group CON for patients treated by conservative management with subsequent elective open cancer resection; Group COL for colostomy patients; Group INT were for patients who had interventional radiology followed by open elective colon cancer resection. The demographics of the patients and co-morbidity, intraoperative data and post-operative data were collected with P0.05). Group INT and Group CON when compared to the three surgical groups, Groups ICI, Group COL and Group HP individually were statistically significant for the duration of surgery (P