Staged surgery after colonic decompression may be safer for the treatment of obstructive left-sided XXXX in a non-specialized hospital.

@entity1 @entity834 @entity5 @entity14 @entity694
BACKGROUND/AIMS: The management for the obstructive left sided @entity14 is still controversial. METHODOLOGY: A retrospective study was performed on 249 consecutive @entity1 who underwent surgical intervention for left sided @entity14 in our hospital. Among 36 @entity1 who had @entity694 , 25 @entity1 received @entity5 resection while the rest of the @entity1 received palliative stoma creation. Clinical characteristics and outcome following @entity5 resection was compared between @entity1 with and without @entity694 . RESULTS: Prior to @entity5 resection, all @entity1 received colonic decompression. Flowingly, 20 @entity1 received staged surgeries and five @entity1 underwent one stage surgery, with three of the latter requiring reoperation due to @entity834 . The five-year overall survival rate for @entity1 following @entity5 resection was 75.5 % and 69.1 % for those with and without @entity694 respectively. Log-rank test showed no significant difference in overall survival between the two groups (p = 0.91). CONCLUSIONS: Onestage surgery for @entity1 with obstructive @entity14 in our hospital was associated with frequent @entity834 . @entity694 itself may not be a poor prognostic factor when decompression preceded surgical resection.
