ABSTRACT
AIM: The aim of this study is to review the time between formation and closure of loop ileostomies following total mesorectal excision in patients with rectal cancer. PATIENTS AND METHODS: A retrospective study of 170 patients who underwent low anterior resection for rectal cancer, between 1990 and 2009. Loop ileostomies were created in 8 patients. RESULTS: Of the 8 patients with defunctioning loop ileostomies, 4 received adjuvant chemo-radiotherapy, 3 received neo-adjuvant chemo-radiotherapy and 1 did not receive anything. There was 12.5% morbidity. The time from formation to closure for the patient with no adjuvant therapy was 3 months and for those with adjuvant therapy was 7 months. This was a significant delay. CONCLUSION: Time between formation and closure of loop ileostomy following anterior resection of rectum is significantly delayed by adjuvant chemotherapy.
Subject(s)
Ileostomy/methods , Rectal Neoplasms/surgery , Chemotherapy, Adjuvant , Colectomy , Combined Modality Therapy , Humans , Radiotherapy, Adjuvant , Retrospective Studies , Time FactorsABSTRACT
AIM: The aim of this study is to present our patients with laparoscopic right hemicolectomy due to cancer. PATIENTS AND METHODS: Between 2005 and 2009, laparoscopic right hemicolectomy for cancer was performed in 9 patients. RESULTS: The average operative time was 168 min. The average hospital stay was 5.3 days. There was one conversion (11.1%) to an open procedure. There were no postoperative complications. All the patients remain so far with no signs of tumor recurrence. CONCLUSION: Laparoscopic right hemicolectomy for cancer in the hands of an experienced laparoscopic surgeon is a safe and efficient procedure.
Subject(s)
Colectomy , Colonic Neoplasms/surgery , Aged , Female , Humans , Laparoscopy , Male , Middle Aged , Retrospective StudiesABSTRACT
The aim of this study is to report our experience with laparoscopic sigmoidectomy due to cancer. Between 2007 and 2009, laparoscopic sigmoidectomy for cancer was performed in 3 patients. The average operative time was 176 min. The average hospital stay was 10.2 days. There was one anastomotic leak. The patient was subjected to laparotomy and a Hartmann's procedure and drainage of the peritoneal cavity was performed. In conclusion, laparoscopic sigmoidectomy for cancer is a safe and efficient procedure.
Subject(s)
Colectomy , Sigmoid Neoplasms/surgery , Adult , Colectomy/adverse effects , Female , Humans , Laparoscopy , Male , Middle AgedABSTRACT
AIM: In this study, we present our patients with metachronous colorectal cancer. PATIENTS AND METHODS: In the period between 1990 and 2009, 670 patients with colorectal cancer were treated. RESULTS: Metachronous cancer was developed in 4 (0.6%) patients. The time interval between index and metachronous cancer was 28 months to 22 years (mean 146 months). CONCLUSION: Metachronous colorectal cancer is a potential risk that proves the necessity of postoperative colonoscopic control of all patients with colorectal cancer.
Subject(s)
Colorectal Neoplasms/diagnosis , Colorectal Neoplasms/surgery , Neoplasms, Second Primary/diagnosis , Aged , Colonoscopy , Female , Humans , MaleABSTRACT
AIM: The aim of this study is the presentation of brain secondaries associated with colorectal cancer. PATIENTS AND METHODS: In the period between 1990 and 2009, 670 patients with colorectal cancer were treated. RESULTS: From 670 patients, 5 patients were identified with brain metastases. The incidence was 0.73%. The median interval between the colorectal cancer and the development of the brain secondaries was 7.5 months. Median survival after the diagnosis of brain metastases was 4.3 months. CONCLUSION: Brain metastases associated with colorectal cancer are relatively rare, but also a frequent cause of death.
Subject(s)
Brain Neoplasms/secondary , Colorectal Neoplasms/pathology , Adult , Aged , Brain Neoplasms/therapy , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
AIM: The purpose of our study is to present the results of the handsewn single-layer interrupted extramucosal anastomosis following colon cancer. PATIENTS AND METHODS: In the period between 1989 and 2009, 276 intestinal anastomoses were fashioned following colon resection using single-layer interrupted extramucosal 3/0 Vicryl. RESULTS: The mean hospital stay was 8.2 days. Twenty-three patients had postoperative complications, and the total morbidity was 8.3%. Seven anastomotic leakages occurred (2.5%). The mortality rate was 2.5%. CONCLUSION: The single-layer anastomosis with interrupted extramucosal sutures after colon resection is safe and effective.
Subject(s)
Anastomotic Leak/etiology , Colectomy/adverse effects , Colectomy/methods , Colonic Neoplasms/surgery , Adult , Aged , Aged, 80 and over , Anastomosis, Surgical/adverse effects , Anastomosis, Surgical/methods , Female , Humans , Male , Middle Aged , Suture TechniquesABSTRACT
AIM: Aim of this study is to demonstrate that the circumferential stapled procedure for rectal varices is a feasible and suitable method of controlling bleeding varices. PATIENTS: Between 2004 and December 2007, four patients underwent the procedure as an emergency, with the intention of controlling haemorrhage. RESULTS: Four patients underwent this procedure, with successful control of bleeding achieved in all. No further rebleeding was observed in the follow-up period. CONCLUSION: The stapled disruption of bleeding rectal varices in patients with portal hypertension seems a very useful and effective procedure.