Incidence Of Anastomotic Leakage In Left Colonic Anastomosis Without Proximal Stoma

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.