Two-Stage Operations in Patients with Acute Right-sided Colonic Obstruction: a 15-year Single Institution Experience

Objective The aim of the study was to review characteristics, surgical outcomes, complications, and long-term outcomes two-stage operations for acute right-sided colonic obstruction (RSCO) in a single institution. Summary background data Although patients with RSCO can be treated by resection tumor primary anastomosis, longer procedure times bigger wounds result more mortality complications. A operation diverting loop ileostomy another option. However, are lacking. Methods retrospective reviewed who underwent emergency surgery tertiary center from 2004-2018. First-stage other than ileostomy, incomplete obstructions that could medically, or pathologies adenocarcinomas were excluded. Perioperative such as first second operations, operative times, lengths stay, harvested lymph nodes, any complications included. We assessed overall survival (OS) disease-free (DFS) oncologic outcomes. Results Sixty-nine Seven had related ileostomy. Three them died within 30 days admission. Thirty-one received second-stage right hemicolectomy. None anastomosis leakage 30-day mortality. Only 9.7% fewer 12 nodes. One-year OS 34% only 89% those (P < 0.001). Among 26 curative tumor, 3-year DFS 61.5%. Conclusions is associated low morbidity rates an setting. subsequent hemicolectomy harvest nodes resection. Long-term benefits expected.