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[Management of colorectal resections for treatment of neoplastic intestinal occlusions. Experience of surgery clinic No III, Cluj-Napoca].
- Source :
-
Chirurgia (Bucharest, Romania : 1990) [Chirurgia (Bucur)] 2008 Jan-Feb; Vol. 103 (1), pp. 45-51. - Publication Year :
- 2008
-
Abstract
- Purpose: We analyzed the clinical results of different techniques of resection for malignant colorectal (primary or staged) obstruction.<br />Methods: The subjects of this retrospective nonrandomized clinical study were 165 patients with malignant colorectal occlusion who underwent surgery treatment in our Department between 2002-2006. Patients with peritonitis or treated by means of permanent colostomy, palliative anastomosis, primary Hartman resection and rectal excision were excluded.<br />Results: Patients with large bowel obstruction caused by obstructive malignant colorectal lesions underwent either one-stage primary resection with anastomosis (77 patients) or staged interventions (88 patients). There were no differences in age, sex, comorbidities, tumor staging, serum preoperative levels of hemoglobin and proteins between the two groups of patients defined by the different surgical techniques. Regarding mortality and morbidity following surgical treatment for large bowel obstruction no significant difference among the two groups (p > 0.05) or the fistula rate (p = 0.435) was obtained. Moreover, results showed a higher incidence of mortality (11.8% vs 7.8%), morbidity (13.6 vs 10.4) and increased hospitalization period (p = 0.03) among the patients that undergone series resections.<br />Conclusions: One stage primary resections with anastomosis of the large bowel can be performed safely in case of emergency whenever patient comorbidities and local conditions do not stand as major restrictions.
- Subjects :
- Aged
Colorectal Neoplasms mortality
Emergencies
Female
Hospital Mortality
Humans
Intestinal Obstruction mortality
Male
Middle Aged
Retrospective Studies
Risk Factors
Romania epidemiology
Survival Analysis
Treatment Outcome
Colectomy methods
Colorectal Neoplasms complications
Colorectal Neoplasms surgery
Intestinal Obstruction etiology
Intestinal Obstruction surgery
Subjects
Details
- Language :
- Romanian; Moldavian; Moldovan
- ISSN :
- 1221-9118
- Volume :
- 103
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Chirurgia (Bucharest, Romania : 1990)
- Publication Type :
- Academic Journal
- Accession number :
- 18459496