J Korean Soc Coloproctol.  1998 Jun;14(2):189-198.

Comparison of One Stage Operation with Staged Operation in Malignant Obstruction of the Left Colon and Rectum

• Kim HH
• Kim BS
• Moon DJ
• Park JS

Abstract

BACKGROUND: The optimal management of malignant obstruction of the left colon and rectum is controversial.
METHODS
A retrospective study was performed of 33 patients who underwent one-stage operation(n=11), staged operation(n=20), and palliative colostomy(n=2) at Kwangju Christian Hospital between January 1992 and December 1996.
RESULTS
Eleven patients underwent one-stage operations(7 cases with anterior resection, 3 cases with left hemicolectomy, 1 case with Miles' operation). In this group, postoperative morbidity was 36.3% including 1 wound infection(9.0%), 1 anastomotic leakage (9.0%), 1 postoperative intestinal obstruction and 1 pulmonary complication, but there was no postoperative death. The average of hospital stay in this group was 18.1 days and the first day of normal diet was 6.0 days. Twenty patients underwent staged operations including 12 cases of Hartmann's procedure. In this group, postoperative morbidity was 35.0% including 3 wound infections(15.0%), 2 pulmonary complications(10.0%), 1 parastomal hernia and 1 fistula. There were two postoperative deaths as a result of sepsis. The average of hospital stay in this group was 34.9 days and the first day of normal diet was 6.8 days.
CONCLUSION
We believe that one-stage operation was of value in management of malignant obstruction of the left colon and rectum in selected patients.

Keyword

One-stage operation; Staged operation; Malignant obstruction

MeSH Terms

Anastomotic Leak
Colon*
Diet
Fistula
Gwangju
Hernia
Humans
Intestinal Obstruction
Length of Stay
Rectum*
Retrospective Studies
Sepsis
Wounds and Injuries