| Autor: |
M, Paşalega, C, Meşină, F, Calotă, D, Vâlcea, R, Nemes, C, Burdescu, T, Curcă, T, Paraliov, C, Mirea, T, Tenea, I, Vasile |
| Předmět: |
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| Zdroj: |
Europe PubMed Central |
| Popis: |
To evaluate the problems of approach, of technique and of care as a 20 years experience demonstrates.a retrospective study including 45 operated cases where the large-bowel served as reconstructive material (in 33 cases the transverse colon and in 12 cases right ileocolon).Healing was obtained in 42 patients. Early postoperative evolution presented: peritonitis caused by anastomotic leakages--2 cases, hemoperitoneum--2 cases, cervical fistula --1 case, wound infection--6 cases, evisceration--1 case, acute respiratory failure--6 cases. Cervical anastomosis reconstruction for late stenosis--1 case. There were 2 postoperative deaths by haemorrhagic shock and peritonitis--mortality 4.4.Reconstruction by using the large-bowel was justified through anatomic argumentation (sufficient vascular supply), technic argumentation (easy anastomosis, tension free, short time of execution), functional argumentation (good compliance of large-bowel to the new function).Coloesophagoplasty is an efficient method on the condition of a strict planning: continent gastrostomy and evolvement of vascular arcades due to previous vascular "carving". |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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