| Autor: |
T E, Pakkastie, P E, Luukkonen, H J, Järvinen |
| Rok vydání: |
1994 |
| Předmět: |
|
| Zdroj: |
The European journal of surgery = Acta chirurgica. 160(5) |
| ISSN: |
1102-4151 |
| Popis: |
To evaluate the results of elective colorectal operations, to identify factors that influence the anastomotic leak rate, and to assess the value of a covering colostomy.Retrospective study.University hospital.134 consecutive patients undergoing elective resection for a neoplasm (125 carcinomas and 10 villous adenomas) of the colon and rectum.135 operations (one for a recurrence in the anastomotic line).Morbidity and mortality.Two patients died (1%) and there were 29 complications (21%); 16 patients developed clinical anastomotic leaks (12%) and 3 patients symptomatic strictures (2%). One patient who developed a leak died and 11 of the 16 (69%) were re-operated on. The rest settled spontaneously. The only significant risk factor associated with leakage was distance of the anastomosis from the anal verge (all 16 leaks were within 7 cm, compared with 44/118 without leaks, p0.001). Four patients who developed leaks were left with permanent colostomies. Protecting stomas had no significant influence, despite the fact that only 1 of those that developed leaks had a colostomy compared with 9/109 that did not.Prospective controlled studies are needed to establish the true value of a covering colostomy after low colorectal anastomosis. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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