Document Detail


Obstructing carcinoma of the left colon: treatment by extended right hemicolectomy.
MedLine Citation:
PMID:  1938204     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Obstructing carcinoma of the left side of the colon causes proximal distension of the colon with subsequent thinning of the colonic wall and vascular impairment. Conventional surgical treatment is multi-staged. Each stage carries its own morbidity and mortality. An alternate treatment, extended right hemicolectomy, requires a single surgical procedure. Fifty-six cases of acute obstructing carcinoma of the left colon are presented: 16 in Group I were treated conventionally; 40 in Group II were treated by extended right hemicolectomy. In Group I, four died within one week of surgery. Six survived with a colostomy; all suffered from poor quality of life until death. For the six who received complete treatment, average total hospitalization was 54 days. Group II suffered no peri-operative mortality. Patients were discharged without a colostomy after an average hospitalization of 15.7 days. Advantages of and conditions for treatment by extended right hemicolectomy are discussed.
Authors:
S C Antal; Z G Kovacs; V Feigenbaum; M Engelberg
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  International surgery     Volume:  76     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    1991 Jul-Sep
Date Detail:
Created Date:  1991-12-17     Completed Date:  1991-12-17     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  161-3     Citation Subset:  IM    
Affiliation:
Department of Surgery B, Carmel Hospital, Haifa, Israel.
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MeSH Terms
Descriptor/Qualifier:
Aged
Colectomy / methods*
Colonic Neoplasms / complications,  mortality,  surgery*
Colostomy
Female
Humans
Intestinal Obstruction / etiology
Male
Reoperation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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