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[The role of subtotal/total colectomy in the urgent treatment of obstructive cancer of the left colon].
J Chir (Paris). 1997 Dec; 134(7-8):267-70.JC

Abstract

PURPOSE

The aim of the study was to evaluate the results of management of acutely obstructed carcinoma of the left colon by emergency subtotal/total colectomy (STC) with immediate anastomosis without diversion.

METHODS

STC was performed in 48 patients (mean age 72 years). Inclusion criteria were reasonable operative risk, resectable acutely obstructed carcinoma, massively-distended colon of dubious viability, signs of impending cecal perforation.

RESULTS

Postoperative mortality was 6.2% (n = 3): 2 patients over 85 years of age died postoperatively as a result of cardiopulmonary complications: an 83 year-old female dies as a result of an anastomotic dehiscence. Morbidity was 12.4% (n = 6) including one fistula which recovered without surgery. There were 4 synchronous colon cancers. Six months after surgery, the mean daily stool frequency was 2 after STC, and 3 after TC.

CONCLUSION

Emergency STC achieves in one stage relief of bowel obstruction and tumor resection by encompassing a massively distended and fecal-loaded colon with ischemic lesions, ensures restoration of gut continuity via a "safe" anastomosis and removes occasional synchronous carcinoma.

Authors+Show Affiliations

Département de Chirurgie Viscérale, CHU-Angers.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

9772986

Citation

Arnaud, J P., et al. "[The Role of Subtotal/total Colectomy in the Urgent Treatment of Obstructive Cancer of the Left Colon]." Journal De Chirurgie, vol. 134, no. 7-8, 1997, pp. 267-70.
Arnaud JP, Cervi C, Duplessis R, et al. [The role of subtotal/total colectomy in the urgent treatment of obstructive cancer of the left colon]. J Chir (Paris). 1997;134(7-8):267-70.
Arnaud, J. P., Cervi, C., Duplessis, R., & Cattan, F. (1997). [The role of subtotal/total colectomy in the urgent treatment of obstructive cancer of the left colon]. Journal De Chirurgie, 134(7-8), 267-70.
Arnaud JP, et al. [The Role of Subtotal/total Colectomy in the Urgent Treatment of Obstructive Cancer of the Left Colon]. J Chir (Paris). 1997;134(7-8):267-70. PubMed PMID: 9772986.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The role of subtotal/total colectomy in the urgent treatment of obstructive cancer of the left colon]. AU - Arnaud,J P, AU - Cervi,C, AU - Duplessis,R, AU - Cattan,F, PY - 1998/10/17/pubmed PY - 1998/10/17/medline PY - 1998/10/17/entrez SP - 267 EP - 70 JF - Journal de chirurgie JO - J Chir (Paris) VL - 134 IS - 7-8 N2 - PURPOSE: The aim of the study was to evaluate the results of management of acutely obstructed carcinoma of the left colon by emergency subtotal/total colectomy (STC) with immediate anastomosis without diversion. METHODS: STC was performed in 48 patients (mean age 72 years). Inclusion criteria were reasonable operative risk, resectable acutely obstructed carcinoma, massively-distended colon of dubious viability, signs of impending cecal perforation. RESULTS: Postoperative mortality was 6.2% (n = 3): 2 patients over 85 years of age died postoperatively as a result of cardiopulmonary complications: an 83 year-old female dies as a result of an anastomotic dehiscence. Morbidity was 12.4% (n = 6) including one fistula which recovered without surgery. There were 4 synchronous colon cancers. Six months after surgery, the mean daily stool frequency was 2 after STC, and 3 after TC. CONCLUSION: Emergency STC achieves in one stage relief of bowel obstruction and tumor resection by encompassing a massively distended and fecal-loaded colon with ischemic lesions, ensures restoration of gut continuity via a "safe" anastomosis and removes occasional synchronous carcinoma. SN - 0021-7697 UR - https://www.unboundmedicine.com/medline/citation/9772986/[The_role_of_subtotal/total_colectomy_in_the_urgent_treatment_of_obstructive_cancer_of_the_left_colon]_ DB - PRIME DP - Unbound Medicine ER -