الفهرس 
Portal vein and its tributariesOnly 14 pages are availabe for public view
 |  | from | 142 |  |  |
| | | from | 142 | | |
Abstract
Colorectal cancer is currently considered the third most commonly diagnosed cancer in males and the second in females worldwide. Colorectal cancer in Egypt remains a heavy burden as about 40% of cases occur in individuals under 40 years of age. The one-stage resection and anastomosis surgery on the left colon due to carcinomas was lately proposed to be safely done.
This study aimed to evaluate the immediate results of the one-stage resection and anastomosis surgery procedure for left colonic cancer patients and to analyze the relationship between occurrence of complications and clinico-pathological circumstances of the patients.
This is a prospective clinical study included 20 patients having left side cancer colon selected from those attending the Department of General Surgery. All patients were subjected to complete history taking, physical examination, full laboratory investigations, various imaging studies.
Patients were closely observed and followed up in the inpatient ward and daily assessment was done.
Primary resection and anastomosis was carried out in the 20 selected cases considering the inclusion and exclusion criteria so as the primary repair is judged to be technically acceptable and safe. On-table colonic lavage was carried when needed in some cases of them.After resection, anastomosis was carried out using a two-layer inverting technique with interrupted 3/0 polyglycolic suture, tube drains were used, and all patients were covered with broad-spectrum antibiotics during operation and early postoperative. We waited for restoration of bowel sounds or flatus before commencing oral fluids.
The mean age of the patients was 59.4±8.3years (70% males and 30% females). Eight patients (40%) were smokers and 12 (60%) were non-smokers. The mean duration of hospital stay was 8.1±2.2 days.
Comorbidities: 8 patients (40%) were diabetic, 6 (30%) were anemic, 4 (20%) had ischemic heart disease (IHD), 14 (70%) had obstructed colon, and 3 (16%) of cases had bleeding.
Preoperative investigations: Fourteen cases (70%) had undergone CT P/a, whereas 6 cases (30%) had undergone colonoscopy.
Colon preparation: Eight patients (40%) had undergone intraoperative preparations, 12 (60%) patients had prepared preoperatively.
Complications: There was one case of death (5%), 3 (15%) had anastomotic leakage and 5 (25%) had wound infection.
Percentage of leakage was noticed in females, age >50years, diabetic patients, adenocarcinoma and IHD.
Death rate was noticed in females, age >50years, diabetic patients, IHD, adenocarcinoma and obstructed colon.
Percentage of wound infection was noticed in males, age <50 years and in diabetic, adenocarcinoma and obstructed colon cases.
Most of clinical data of patients showed no significant difference between groups in relation to postoperative complications
The length of hospital stay was the factor that had significant relation between groups in relation to postoperative complications.