| Intraoperative drainage of intestinal contents in emergency surgical treatment of left-sided colonic obstruction. | |
| | |
MedLine Citation:
|
PMID: 18705302 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND/AIMS: This study was undertaken to verify an original procedure, drainage through anastomosis (DTA), for one-stage operation in emergency surgical treatment of left-sided colonic obstruction. METHODOLOGY: Twenty-two patients underwent emergency surgical treatment for left-sided colonic malignant obstruction between 2001 and 2005 either by DTA or conventional method (CM). The parameters evaluated consisted of the incidence of surgical wound infection, residual abscess, anastomotic leakage, presence of ileostomy, and postoperative hospital stay. RESULTS: Surgical wound infection occurred in 1 patient (10%) in DTA and 8 patients (67%) in CM (p=0.02). The incidence of residual abscess was none (0%) in DTA and 1 patient (8%) in CM. Anastomotic leakage was not observed in either group. The incidence of the patients having ileostomy was none (0%) in DTA and 2 patients (17%) in CM. The postoperative hospital stay in DTA was a mean of 22.2 (range 19-24) days as compared to 28.5 (range 20-52) days in CM (p=0.03). CONCLUSIONS: One-staged surgery with DTA is a safe procedure that minimizes the risk of intraoperative spillage of intestinal contents, which may allow safe one-staged operation for colorectal cancer with left-sided colonic obstruction. |
| | |
Authors:
|
Hidejiro Kawahara; Kazuhisa Yoshimoto; Kazuhiro Watanabe; Susumu Kobayashi; Hideyuki Kashiwagi; Katsuhiko Yanaga |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Hepato-gastroenterology Volume: 55 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 2008 May-Jun |
Date Detail:
|
Created Date: 2008-08-18 Completed Date: 2008-12-19 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: Greece |
Other Details:
|
Languages: eng Pagination: 940-2 Citation Subset: IM |
Affiliation:
|
Department of Surgery, Jikei University School of Medicine, Tokyo, Japan. kawahide@jikei.ac.jp |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abdominal Abscess
/
etiology,
surgery Aged Aged, 80 and over Anastomosis, Surgical / methods* Colectomy / methods* Colonic Diseases / surgery* Drainage / methods* Emergencies* Female Humans Ileostomy Intestinal Neoplasms / surgery* Intestinal Obstruction / surgery* Length of Stay Male Middle Aged Postoperative Complications / etiology, surgery Rectum / surgery Reoperation Surgical Staplers Surgical Wound Dehiscence / etiology, surgery Surgical Wound Infection / etiology, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Total colonic polyp diameter: a marker for the risk of malignancy?
Next Document: Laparoscopic colectomy for colorectal cancer patients with previous abdominal surgery.