Abstract: Abstract Objective: To evaluate the clinic application of anterograde ileum tubal fistulation for obstructed left–sided colorectal cancer by a one-stage resection and an anastomosis. Methods: Studied Clinical data of 20 patients with obstructed left-sided colorectal cancer who underwent ileum tubal fistulation after A one-stage resection and an anastomosis. After the decompressive procedure, A catheter was inserted to terminal segmen of the ileum through the stump, on-table lavage, resection, and primary anastomosis be performed, then the catheter was fixed on abdominal wall.Results: There were no complication such as anastomotic leakage, postoperational stool leakage and peritonitis. The stool diversion was efficient. No deaths occurred. Conclusion: The Application of anterograde Tubal Typical ileum fistulation for obstructed left-sided colorectal cancer by a one- stage resection and an anastomosis was safety and efficient.

Key words: Ileum tubal fistulation, obstructed colorectal, anastomotic leakage