Single-stage treatment for malignant left-sided colonic obstruction: A prospective randomized clinical trial comparing subtotal colectomy with segmental resection following intraoperative irrigation

This multicentre study is the first prospective randomized trial to compare subtotal colectomy with segmental resection and primary anastomosis following intraoperative irrigation for the management of malignant left-sided colonic obstruction. Of the 91 eligible patients recruited by 12 centres, 47 were randomized to subtotal colectomy and 44 to on-table irrigation and segmental colectomy. Hospital mortality and complication rates did not differ...