Safety of a One-stage Operation for an Obstructed Left Colon Carcinoma
Journal of the Korean Society of Coloproctology
;
: 207-212, 2005.
Article
Dans Coréen
| WPRIM
| ID: wpr-120212
ABSTRACT
PURPOSE:
For a left-sided colonic obstruction, the traditional method of a staged defunctioning colostomy and resection has been performed. Recently, there has been a trend towards a one-stage primary resection and anastomosis. The aim of this study was to assess the safety and the efficacy of a one-stage resection and anastomosis for obstructed left colon cancer.METHODS:
We retrospectively reviewed the records of 29 patients who had been diagnosed as having an obstructed left-sided colon cancer during the period from January 1995 to December 2003 at Ewha Womans University Hospital. We compared two techniques, a one-stage operation (10 cases) and a staged operation (13 cases).RESULTS:
The mean age of the one-stage group was 58.5+/-16.1, and that of the staged operation group was 65.0+/-13.4. Both groups had similar co-morbidities, TNM stages, and tumor locations. In the one-stage operation group, a subtotal colectomy (n=3), a resection and anastomosis with intraoperative lavage (n=5), and a resection and anastomosis following stent insertion (n=2) had been performed. Patients who had undergone a colostomy as the first operation, resection and anastomosis (n=3), and a resection and anastomosis following a defunctioning colostomy (n=10) were included in the staged operation group. The mean postoperative hospital stay showed no significant differences between the two groups. One patient who had undergone a one-stage operation presented with an intestinal partial obstruction five months later. There were no anastomotic leakages, intraabdominal absceses, and wound infections, nor were there any mortalities.CONCLUSIONS:
A one-stage resection and primary anastomosis for obstructed left-sided colon cancer can be done safely without significant morbidity.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Infection de plaie
/
Colostomie
/
Endoprothèses
/
Études rétrospectives
/
Mortalité
/
Colectomie
/
Côlon
/
Tumeurs du côlon
/
Désunion anastomotique
/
Irrigation thérapeutique
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Femelle
/
Humains
langue:
Coréen
Texte intégral:
Journal of the Korean Society of Coloproctology
Année:
2005
Type:
Article
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