One Stage Procedure versus Two Stages Procedure in Management of Obstructed Non-Perforated Cancer Colon

Background: The surgical management of large bowel emergency patients remains controversial. However, there has been an increasing trend toward primary reconstructive surgery. Objective: To evaluate one-stage procedure versus two-stage in cases presented with obstructed nonperforated cancer colon terms operative time, hospital stay, postoperative complications, peri-operative mortality, and quality life. Patients methods: A prospective randomized study was conducted at Emergency Mansoura University Hospitals. total 50 diagnosed were randomly allocated into two groups; the first group included 25 who underwent approach, second one remaining approach. Results: Although two-staged approach showed increase time compared to single-stage (174.88 vs. 163.84 minutes respectively), that difference statistically insignificant (p = 0.102). Hospital stay significant prolongation (5.8 3.88 days – p < 0.001). No detected between groups regarding complications. Mortality encountered only case (4%) due pulmonary embolism. prevalence patient dissatisfaction significantly higher (48%) (12%). Conclusion: We concluded no perioperative morbidity or mortality rates staged when applied for patients.