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1.
G Chir ; 33(3): 58-61, 2012 Mar.
Article in English | MEDLINE | ID: mdl-22525546

ABSTRACT

INTRODUCTION: Routine use of nasogastric tubes (NGT) after abdominal operations is intended to hasten the return of bowel function, diminish the risk of anastomotic leakage and prevent pulmonary complications. The aim of our study was to prospectively assess the tolerability and the safety of the non use of NGT after elective colorectal open operations. PATIENTS AND METHODS: Between March 2009 and December 2010, 110 consecutive patients underwent colo-rectal elective open surgery for neoplasm without nasogastric decompression. We analyzed the incidence of nausea and vomiting, the pulmonary complications, the return of bowel function the deep wound breakdown (fascial dehiscence) and the anastomotic leakage. RESULTS: Only 15 patients (13,6%) reported nausea without vomiting immediately after surgery and 9 cases of vomiting were observed (8%), requiring the insertion of the NGT (nasogastric tube) in 5 (4,5%). A total of 105 patients (96,3%) were NGT free. No deep wound dehiscence was observed and only one real pneumonia occurred. Anastomotic dehiscence occurred in 4 patients (3,6%) and a second surgical procedure was needed in three cases. The return of bowel function, except in the last four patients, occurred in 3,8 days average (range 2-7 days). CONCLUSION: We confirm the uselessness of the NGT in the framework of fast track program adopted in elective open colo-rectal surgery.


Subject(s)
Colectomy , Colorectal Neoplasms/surgery , Decompression, Surgical/instrumentation , Elective Surgical Procedures , Intraoperative Care , Intubation, Gastrointestinal/instrumentation , Adult , Aged , Aged, 80 and over , Female , Humans , Length of Stay , Male , Middle Aged , Prospective Studies , Recovery of Function , Treatment Outcome
2.
Suppl Tumori ; 4(3): S28, 2005.
Article in Italian | MEDLINE | ID: mdl-16437883

ABSTRACT

Sentinel lymph node sampling, in patients with resectable colon cancer, improved identification of lymph node disease and identified patients likely to benefit from adjuvant therapy. This study examined whether sentinel node sampling accurately predicted lymph node status for patients with resectable colon cancer.


Subject(s)
Colonic Neoplasms/pathology , Sentinel Lymph Node Biopsy , Feasibility Studies , Humans , Immunohistochemistry , Reproducibility of Results
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