{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T03:59:49Z","timestamp":1761796789241,"version":"build-2065373602"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Malignant left\u2010sided colon obstruction poses management challenges due to a lack of uniformity in its management. This study aimed to compare outcomes between immediate resection and primary colostomy, focusing on the impact of lymphadenectomy quality and overall survival. The secondary objectives included definitive stoma incidence, duration of stoma, morbidity, hospital stay, and morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 7\u2010year retrospective cross\u2010sectional study of 127 patients with left colon neoplastic obstruction divided into Primary Resection (PR) and Diverting Stoma (DS) groups was conducted. The characteristics and outcomes of the two groups were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Comparisons between the two groups revealed no significant differences in terms of patient characteristics, clinical and radiological signs, or obstruction severity. The DS group exhibited superior resection and lymphadenectomy quality, with more lymph nodes harvested (14.9\u2009\u00b1\u20091.4 vs. 12.8\u2009\u00b1\u20091.4,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012). The PR group had a longer stoma duration (344\u2009\u00b1\u20091.5 vs. 23.6\u2009\u00b1\u20091.8\u2009days). The number of permanent stomas was greater in the PR group (42.4%) than in the DS group (9.4%),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001. The morbidity and mortality rates were similar (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). No overall survival advantage was observed, although DS was associated with increased recurrence\u2010free survival.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Stoma diversion as a bridge to surgery seems to provide better oncological outcomes with improved lymphadenectomy than does emergency resection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70248","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T03:30:54Z","timestamp":1751427054000},"page":"2137-2147","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diverting Colostomy as a Bridge to Surgery Versus Emergency Primary Resection Without Anastomosis for Obstructive Left\u2010Sided Colon Cancer"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2291-7250","authenticated-orcid":false,"given":"Aymen","family":"Trigui","sequence":"first","affiliation":[{"name":"Department of General and Digestive Surgery, Habib Bourguiba University Hospital University of Sfax, Faculty of Medicine  Sfax Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4649-3264","authenticated-orcid":false,"given":"Mohammad Saad","family":"Saumtally","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery C\u2010Care Wellkin Hospital  Moka Mauritius"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moustapha Mohamed","family":"Youssouf","sequence":"additional","affiliation":[{"name":"Department of Oncology, Habib Bourguiba University Hospital University of Sfax, Faculty of Medicine  Sfax Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1458-5789","authenticated-orcid":false,"given":"In\u00e8s","family":"Ayadi","sequence":"additional","affiliation":[{"name":"Department of Oncology, Habib Bourguiba University Hospital University of Sfax, Faculty of Medicine  Sfax Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1738-4093","authenticated-orcid":false,"given":"Amine","family":"Chaabouni","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery, Habib Bourguiba University Hospital University of Sfax, Faculty of Medicine  Sfax Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8340-0488","authenticated-orcid":false,"given":"Amine","family":"Zouari","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery, Habib Bourguiba University Hospital University of Sfax, Faculty of Medicine  Sfax Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1110-8386","authenticated-orcid":false,"given":"Rami","family":"Zouari","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery, Habib Bourguiba University Hospital University of Sfax, Faculty of Medicine  Sfax Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5931-6630","authenticated-orcid":false,"given":"Salma","family":"Ketata","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Habib Bourguiba University Hospital University of Sfax, Faculty of Medicine  Sfax Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7046-1430","authenticated-orcid":false,"given":"Nozha","family":"Toumi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Habib Bourguiba 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