OBJECTIVE: This retrospective study comes forward to study our management of left @entity694 by evaluating the mortality and the morbidity. @entity1 AND METHODS: From 1984 to 2001, 21 @entity1 with left @entity694 were treated in emergency. They were 12 males and 9 females with a mean age of 40.6 years. All the @entity1 had complete clinical and radiological @entity694 . The pre-operative neoplastic origin of the obstruction was unknown in 20 cases. Six @entity1 had hepatic metastases and 6 ovarian metastases. Six @entity1 were classified as Asa II and 6 other Asa III. Nineteen @entity1 (90.5%) underwent Hartmann's operation. The 2 remaining @entity1 had immediate @entity254 after colectomy, with diverting ileostomy. These procedures were associated with hepatectomy in 5 cases and annexectomy in 6 cases. Intestinal continuity restoration was possible in 13 cases between 6 months and 1 year. RESULTS: Operative mortality was 9.5% (2 cases). @entity204 were due to evisceration caused by parietal suppuration in one case and @entity712 in the other case. There was no anastomotic @entity292 . Mean hospital stay was 14 days (12-21). Survival was 84% at one year and 0% at 5 years. CONCLUSION: Our results suggest that Hartmann's operation is safe and may be usually performed in our conditions. However, near by amount colostomy and intra-operative colonic irrigation might be an alternating procedure in some selected @entity1 .

[Left XXXX in Ivory Coast].

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity712 :: ('MESH:D006333', 'Disease') :: ['heart failure'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity694 :: ('MESH:D003110', 'Disease') :: ['colonic obstruction', 'colonic cancer obstruction'] @entity204 :: ('MESH:D003643', 'Disease') :: ['Deaths']
@entity694 :: (MESH:D003110,Disease) :: ['colonic cancer obstruction']
