Management of left-sided colonic obstruction by subtotal colectomy and ileocolic anastomosis
| Autor: | Han C. Kuijpers, Theo Wobbes, Peter H. M. Reemst |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male medicine.medical_specialty Colon Anastomosis Dehiscence Colonic Diseases Ileum medicine Humans Colectomy Aged Retrospective Studies Aged 80 and over Pelvic floor Ileocolic anastomosis Subtotal Colectomy business.industry General surgery Anastomosis Surgical Retrospective cohort study Length of Stay Middle Aged Surgery Colonic obstruction medicine.anatomical_structure Defecation Female Emergencies business Intestinal Obstruction |
| Zdroj: | The European journal of surgery = Acta chirurgica. 164(7) |
| ISSN: | 1102-4151 |
| Popis: | Objective: To assess complications and functional results of emergency subtotal colectomy with ileocolic anastomosis for acute left-sided colonic obstruction. Design: Retrospective study. Setting: University hospital, Netherlands. Subjects: 37 patients with acute left-sided colonic obstruction. Interventions: Emergency subtotal colectomy with immediate anastomosis (n = 20), Hartmann's procedure (n = 13) or double-loop transverse colostomy (n = 4). Main outcome measures: Mortality, morbidity, duration of hospital stay, frequency of defecation, and continence. Results: Morbidity after subtotal colectomy was 10% (n = 2) and mortality 0. There was one anastomotic dehiscence that required a temporary ileostomy. Mean hospital stay was 15 days (range 10–31). All had adequate continence. After 6 weeks mean frequency of defecation was 3/24 hrs (range 2–6). 9 patients died within 2 years of metastatic disease. Conclusions: Subtotal colectomy with ileocolic anastomosis is a suitable procedure for treating left-sided colonic obstruction provided that pelvic floor function is adequate and a skilled surgeon is available. Copyright © 1998 Taylor and Francis Ltd. |
| Databáze: | OpenAIRE |
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