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篇首： Left colon carcinoma presented with obstruction is a frequently encountered emergency. The surgical treatment of acutely obstructed left colon carcinoma (OLCC) still remains controversial because of its high associated morbidity and mortality, and the number of different surgical options available. Despite current trends toward emergency colectomy with primary anastomosis or colonic stenting as a bridge to subsequent elective surgery, the left hemicolectomy with temporary terminal colostomy remains a choice. Some of these patients who have received temporary colostomies are candidates for restoration of intestinal continuity when patient's medical conditions are optimized. The conventional open approach for the closure of left sided colostomies carries a significant morbidity with leakage rates ranging from 0 to 15% and an operative mortality reported as high as 10%. In fact, some patients with colostomies have significant intra-abdominal adhesions,which may result in difficulties in adequate mobilization of hepatic flexure and transverse colon and flawless anastomotic construction. Here we propose an alternative technique for the management of OLCC: subtotal colectomy with antiperistaltic cecoproctostomy.