Research Article
Surgical Management of Colon Cancer With Occlusion in the General Surgery Department of the Ignace Deen National Hospital, Conakry University Hospital (Guinea)
Issue:
Volume 14, Issue 1, February 2026
Pages:
1-4
Received:
22 December 2025
Accepted:
7 January 2026
Published:
23 January 2026
Abstract: Objective: To report on the experience of the general surgery department at Ignace Deen National Hospital, Conakry University Hospital (Guinea), in the surgical management of colon cancer complicated by acute intestinal obstruction. Patients and methods: This was a retrospective descriptive study conducted over a seven-year period (January 2017-December 2023). All patients who underwent emergency surgery for histologically confirmed occluded colon cancer were included. The data analyzed included sociodemographic characteristics, ASA status, intraoperative data, surgical procedures performed, and postoperative outcomes. Statistical analysis was performed using EPI Info 7.2.3.1 software. Results: Seventy-eight patients were included, with a mean age of 59.2 ± 28.7 years and a predominance of males (sex ratio = 1.52). The majority of patients were classified as ASA III (44.9%). The left colon, particularly the sigmoid colon, was the most common tumor location (51.3%). The main surgical procedures performed were right hemicolectomy with immediate restoration of continuity (48.7%) and left colectomy with stoma (44.9%). Postoperative morbidity was 19.2% and mortality was 26.9%. The average length of hospital stay was 16.4 days. Conclusion: Surgical treatment of colon cancer with obstruction remains associated with high mortality. An individualized treatment strategy, taking into account the patient's condition, tumor location, and available resources, remains essential to improve prognosis.
Abstract: Objective: To report on the experience of the general surgery department at Ignace Deen National Hospital, Conakry University Hospital (Guinea), in the surgical management of colon cancer complicated by acute intestinal obstruction. Patients and methods: This was a retrospective descriptive study conducted over a seven-year period (January 2017-Dec...
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Research Article
Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry
Diakite Sandaly*
,
Camara Fode Lansana,
Fofana Houssein,
Camara Soriba Naby,
Diallo Mamadou Saliou,
Drame Mohamed,
Diakite Saikou Yaya,
Bangoura Mamadou Saliou,
Conde Ousmane,
Cisse Fode,
Camara Djiba,
Touré Aboubacar
Issue:
Volume 14, Issue 1, February 2026
Pages:
5-8
Received:
4 December 2025
Accepted:
26 December 2025
Published:
2 February 2026
DOI:
10.11648/j.js.20261401.12
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Views:
Abstract: Objective. The objective of this study was to evaluate the results of emergency colectomies for acute intestinal obstruction due to pelvic colon volvulus. Patients and methods. This was a two-year prospective study involving 48 cases of pelvic colon volvulus operated on in the General Surgery Department of Ignace DEEN National Hospital between January 1, 2021, and December 31, 2022. This study involved 38 men and 10 women, with a mean age of 49.5 years. All patients presented with clear signs of occlusive syndrome consistent with pelvic colon volvulus. All patients underwent median xyphopubic laparotomy. Patients were divided into two groups. Group I consisted of 34 patients who had undergone an ideal colectomy, and group II consisted of 14 patients who had undergone a colectomy combined with a Bouilly-Volkman or Hartmann colostomy (n = 14), followed by restoration of colonic continuity. Mortality and morbidity were compared for the two groups. The overall mortality rate was 14% (7/48). In group I, this rate was 20% (7/34) and 7.14% (1/14) in group II. Conclusion. In this study, the mortality rate was higher after ideal colectomy than after two-stage colectomy. We recommend conducting a prospective study on a larger sample and encourage two-stage emergency colectomy in the management of pelvic colon volvulus.
Abstract: Objective. The objective of this study was to evaluate the results of emergency colectomies for acute intestinal obstruction due to pelvic colon volvulus. Patients and methods. This was a two-year prospective study involving 48 cases of pelvic colon volvulus operated on in the General Surgery Department of Ignace DEEN National Hospital between Janu...
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