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Article: The role of one-stage surgery in acute left-sided colonic obstruction

TitleThe role of one-stage surgery in acute left-sided colonic obstruction
Authors
Issue Date1995
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurg
Citation
American Journal Of Surgery, 1995, v. 169 n. 4, p. 406-409 How to Cite?
AbstractBACKGROUND: One-stage surgery with primary anastomosis is not widely accepted for acute left-sided colonic obstruction. PATIENTS AND METHODS: Forty-four patients representing our total admission for acute left-sided colonic obstruction over a 3-year period were evaluated with regard to their suitability for one-stage surgery and primary anastomosis. RESULTS: Thirty- five patients (80%) were found to be suitable for this approach and the failures were mainly due to either the advanced nature of the malignant lesions or to their distal location, which precluded an anastomosis. The overall in-hospital mortality was 11%, but only 2 patients (6%) died in the one-stage surgery group, and these deaths were unrelated to anastomotic leakage. This latter complication occurred in 1 patient representing a leak rate of 3%. CONCLUSIONS: We recommend, based on our results, the one-stage approach as an alternative to the more conventional primary resection and staged anastomosis.
Persistent Identifierhttp://hdl.handle.net/10722/172714
ISSN
2015 Impact Factor: 2.403
2015 SCImago Journal Rankings: 1.286
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLau, PWKen_US
dc.contributor.authorLo, CYen_US
dc.contributor.authorLaw, WLen_US
dc.date.accessioned2012-10-30T06:24:26Z-
dc.date.available2012-10-30T06:24:26Z-
dc.date.issued1995en_US
dc.identifier.citationAmerican Journal Of Surgery, 1995, v. 169 n. 4, p. 406-409en_US
dc.identifier.issn0002-9610en_US
dc.identifier.urihttp://hdl.handle.net/10722/172714-
dc.description.abstractBACKGROUND: One-stage surgery with primary anastomosis is not widely accepted for acute left-sided colonic obstruction. PATIENTS AND METHODS: Forty-four patients representing our total admission for acute left-sided colonic obstruction over a 3-year period were evaluated with regard to their suitability for one-stage surgery and primary anastomosis. RESULTS: Thirty- five patients (80%) were found to be suitable for this approach and the failures were mainly due to either the advanced nature of the malignant lesions or to their distal location, which precluded an anastomosis. The overall in-hospital mortality was 11%, but only 2 patients (6%) died in the one-stage surgery group, and these deaths were unrelated to anastomotic leakage. This latter complication occurred in 1 patient representing a leak rate of 3%. CONCLUSIONS: We recommend, based on our results, the one-stage approach as an alternative to the more conventional primary resection and staged anastomosis.en_US
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurgen_US
dc.relation.ispartofAmerican Journal of Surgeryen_US
dc.subject.meshAcute Diseaseen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshAnastomosis, Surgical - Adverse Effects - Methodsen_US
dc.subject.meshColectomy - Adverse Effects - Methodsen_US
dc.subject.meshColonic Diseases - Surgeryen_US
dc.subject.meshColonic Neoplasms - Surgeryen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIntestinal Obstruction - Surgeryen_US
dc.subject.meshIntraoperative Careen_US
dc.subject.meshLength Of Stayen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshSurvival Rateen_US
dc.subject.meshTherapeutic Irrigationen_US
dc.subject.meshTreatment Failureen_US
dc.titleThe role of one-stage surgery in acute left-sided colonic obstructionen_US
dc.typeArticleen_US
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_US
dc.identifier.authorityLaw, WL=rp00436en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/S0002-9610(99)80185-8en_US
dc.identifier.pmid7694978-
dc.identifier.scopuseid_2-s2.0-0028941045en_US
dc.identifier.volume169en_US
dc.identifier.issue4en_US
dc.identifier.spage406en_US
dc.identifier.epage409en_US
dc.identifier.isiWOS:A1995QN76400008-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLau, PWK=7102543485en_US
dc.identifier.scopusauthoridLo, CY=16417392800en_US
dc.identifier.scopusauthoridLaw, WL=7103147867en_US

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