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Abstract

Background: Colon resection refers to the removal of all or a portion of the colon for the treatment of a disease. A colonic resection followed by anastomosis is a surgical procedure in which a portion of the large bowel or colon is removed and the remaining ends are then connected. Aim and objectives: to compare between primary left colonic anastomosis with or without proximal stoma. Subjects and methods: This prospective clinical trial, included 50 patients were selected from attendee of General Surgery department of Al-Azhar University Hospitals, Al-Ahrar Teaching Hospital in Zagazig and Mahalla liver Teaching Hospital. Our cases divided into Group A: 25 underwent primary left colonic anastomosis with proximal stoma. Group B: 25 underwent primary left colonic anastomosis without proximal stoma. Result: No distinctions of statistical significance were found in either group in terms of age, sex, or body mass index. Group A had significantly shorter operative times and shorter hospital stays than Group B. Anastomotic leakage was lower among group A compared to group B. Conclusion: Anastomotic leakage was lower among group A compared to group B. So we can conclude that primary left colonic anastomosis with proximal stoma is more satisfactory and efficient than anastomosis without stoma.

Article Type

Original Article

Keywords

Anastomotic leakage; left Colonic Anastomosis; Proximal Stoma.

Subject Area

General Surgery

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