Tags

Type your tag names separated by a space and hit enter

[Must we reject primary colostomy in left colonic obstruction caused by cancer?].
Chirurgie. 1989; 115 Suppl 2:112-6.C

Abstract

Treatment of left colonic cancer obstruction is not still clear. Many procedures can be done, simple decompressive colostomy by a local incisionnal way to subtotal colectomy with primary anastomosis. What can we do today? Retrospective study from 1983 to 1988 at Centre de Chirurgie Digestive de l'Hôpital Saint-Antoine (Paris) with 36 datas was done. The emergency treatment was 20 decompressive colostomies, 10 primary resections without anastomosis, 2 subtotal colectomies with ileo-sigmoid primary anastomosis, 2 left colectomies with primary anastomosis (2 with decompressive colostomy, one without) and one Hartmann procedure. One patient is dead after decompressive colostomy. After emergency decompressive colostomy, 16 patients (80%) were reoperated for colonic cancer resection, with suppression of the stomy fifteen times. There were 7 extra abdominal complications and 3 stomy complications (2 incisionnal hernias after closure of the stomy and one prolapse of a definitive colostomy). After emergency primary resection without anastomosis, 9 patients (90%) were reoperated for secondary anastomosis. Morbidity was 3 extra abdominal complications. The mean hospital stay was 28 days for these 2 groups. For all the patients with primary or secondary anastomosis there was no anastomotic leak. Decompressive colostomy as emergency procedure for left obstructing carcinoma is simple, efficiency and safe. It can be associated with low mortality and morbidity. To day, we still recommend this procedure.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

2636071

Citation

Parc, R, et al. "[Must We Reject Primary Colostomy in Left Colonic Obstruction Caused By Cancer?]." Chirurgie; Memoires De l'Academie De Chirurgie, vol. 115 Suppl 2, 1989, pp. 112-6.
Parc R, Bouteloup PY, Kartheuser A. [Must we reject primary colostomy in left colonic obstruction caused by cancer?]. Chirurgie. 1989;115 Suppl 2:112-6.
Parc, R., Bouteloup, P. Y., & Kartheuser, A. (1989). [Must we reject primary colostomy in left colonic obstruction caused by cancer?]. Chirurgie; Memoires De l'Academie De Chirurgie, 115 Suppl 2, 112-6.
Parc R, Bouteloup PY, Kartheuser A. [Must We Reject Primary Colostomy in Left Colonic Obstruction Caused By Cancer?]. Chirurgie. 1989;115 Suppl 2:112-6. PubMed PMID: 2636071.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Must we reject primary colostomy in left colonic obstruction caused by cancer?]. AU - Parc,R, AU - Bouteloup,P Y, AU - Kartheuser,A, PY - 1989/1/1/pubmed PY - 1989/1/1/medline PY - 1989/1/1/entrez SP - 112 EP - 6 JF - Chirurgie; memoires de l'Academie de chirurgie JO - Chirurgie VL - 115 Suppl 2 N2 - Treatment of left colonic cancer obstruction is not still clear. Many procedures can be done, simple decompressive colostomy by a local incisionnal way to subtotal colectomy with primary anastomosis. What can we do today? Retrospective study from 1983 to 1988 at Centre de Chirurgie Digestive de l'Hôpital Saint-Antoine (Paris) with 36 datas was done. The emergency treatment was 20 decompressive colostomies, 10 primary resections without anastomosis, 2 subtotal colectomies with ileo-sigmoid primary anastomosis, 2 left colectomies with primary anastomosis (2 with decompressive colostomy, one without) and one Hartmann procedure. One patient is dead after decompressive colostomy. After emergency decompressive colostomy, 16 patients (80%) were reoperated for colonic cancer resection, with suppression of the stomy fifteen times. There were 7 extra abdominal complications and 3 stomy complications (2 incisionnal hernias after closure of the stomy and one prolapse of a definitive colostomy). After emergency primary resection without anastomosis, 9 patients (90%) were reoperated for secondary anastomosis. Morbidity was 3 extra abdominal complications. The mean hospital stay was 28 days for these 2 groups. For all the patients with primary or secondary anastomosis there was no anastomotic leak. Decompressive colostomy as emergency procedure for left obstructing carcinoma is simple, efficiency and safe. It can be associated with low mortality and morbidity. To day, we still recommend this procedure. SN - 0001-4001 UR - https://www.unboundmedicine.com/medline/citation/2636071/[Must_we_reject_primary_colostomy_in_left_colonic_obstruction_caused_by_cancer]_ L2 - https://medlineplus.gov/intestinalobstruction.html DB - PRIME DP - Unbound Medicine ER -