Akademik Veri Yönetim Sistemi
The XII CONGRESS of The WORLD SOCIETY of EMERGENCY SURGERY, Antalya, Türkiye, 21 Ekim - 25 Kasım 2025, ss.91, (Özet Bildiri)
aim of emergency surgical intervention is symptom control and rapid transition to oncologic treatment. This study compared the outcomes of transverse blowhole colostomy with those of end colostomy, with or without bowel resection, in cases of obstructive left colon tumors without perforation but with metastatic disease or peritoneal carcinomatosis. Methods: Between January 2018 and December 2024, 34 patients diagnosed with obstructive left colon tumors, without perforation on imaging, and with confirmed metastatic disease or peritoneal carcinomatosis, were retrospectively reviewed. Group 1 consisted of patients who underwent transverse blowhole colostomy (n=20), and Group 2 included patients who underwent end colostomy with or without bowel resection (n=14). Demographic data, operative time, postoperative complications in hospital mortality, length of hospital stay, and time from surgery to initiation of chemotherapy were recorded. Results: The median age of the cohort was 64 [46-94] years, comprising 18 males and 16 females. The median operative time was 60 minutes in Group 1 and 200 minutes in Group 2. Postoperative complications were observed in 4 patients (% 20) in Group 1 and 10 patients (%71) in Group 2. According to the Clavien–Dindo classification, Group 1 had one complication classified as Grade I–II and three as Grade III–IV, whereas Group 2 had two Grade I–II and eight Grade III– IV complications.The median length of hospital stay was 3 [1-20] days for Group 1 compared with 11 [4-25] days for Group 2 (One patients who was deceased on the first postoperative day was excluded). Five patients in Group 1 and two patients in Group 2 did not receive chemotherapy. The median interval from surgery to initiation of chemotherapy was 28 days in Group 1 and 44 days in Group 2. Conclusion: In metastatic or carcinomatosis cases of obstructive left colon tumors without perforation, transverse blowhole colostomy may reduce surgical trauma, shorten hospital stay, and expedite the initiation of chemotherapy. These advantages make it a valuable palliative option for advanced-stage patients in whom quality of life is the primary consideration. Keywords: Blowhole Colostomy , End Colostomy, Obstructive Left Colon Tumors