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- Publisher Website: 10.1016/S0002-9610(99)80185-8
- Scopus: eid_2-s2.0-0028941045
- PMID: 7694978
- WOS: WOS:A1995QN76400008
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Article: The role of one-stage surgery in acute left-sided colonic obstruction
Title | The role of one-stage surgery in acute left-sided colonic obstruction |
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Authors | |
Issue Date | 1995 |
Publisher | Elsevier 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? |
Abstract | BACKGROUND: 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 Identifier | http://hdl.handle.net/10722/172714 |
ISSN | 2023 Impact Factor: 2.7 2023 SCImago Journal Rankings: 0.897 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Lau, PWK | en_US |
dc.contributor.author | Lo, CY | en_US |
dc.contributor.author | Law, WL | en_US |
dc.date.accessioned | 2012-10-30T06:24:26Z | - |
dc.date.available | 2012-10-30T06:24:26Z | - |
dc.date.issued | 1995 | en_US |
dc.identifier.citation | American Journal Of Surgery, 1995, v. 169 n. 4, p. 406-409 | en_US |
dc.identifier.issn | 0002-9610 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/172714 | - |
dc.description.abstract | BACKGROUND: 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.language | eng | en_US |
dc.publisher | Elsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurg | en_US |
dc.relation.ispartof | American Journal of Surgery | en_US |
dc.subject.mesh | Acute Disease | en_US |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | Aged | en_US |
dc.subject.mesh | Aged, 80 And Over | en_US |
dc.subject.mesh | Anastomosis, Surgical - Adverse Effects - Methods | en_US |
dc.subject.mesh | Colectomy - Adverse Effects - Methods | en_US |
dc.subject.mesh | Colonic Diseases - Surgery | en_US |
dc.subject.mesh | Colonic Neoplasms - Surgery | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Intestinal Obstruction - Surgery | en_US |
dc.subject.mesh | Intraoperative Care | en_US |
dc.subject.mesh | Length Of Stay | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Middle Aged | en_US |
dc.subject.mesh | Prospective Studies | en_US |
dc.subject.mesh | Survival Rate | en_US |
dc.subject.mesh | Therapeutic Irrigation | en_US |
dc.subject.mesh | Treatment Failure | en_US |
dc.title | The role of one-stage surgery in acute left-sided colonic obstruction | en_US |
dc.type | Article | en_US |
dc.identifier.email | Law, WL: lawwl@hkucc.hku.hk | en_US |
dc.identifier.authority | Law, WL=rp00436 | en_US |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1016/S0002-9610(99)80185-8 | en_US |
dc.identifier.pmid | 7694978 | - |
dc.identifier.scopus | eid_2-s2.0-0028941045 | en_US |
dc.identifier.volume | 169 | en_US |
dc.identifier.issue | 4 | en_US |
dc.identifier.spage | 406 | en_US |
dc.identifier.epage | 409 | en_US |
dc.identifier.isi | WOS:A1995QN76400008 | - |
dc.publisher.place | United States | en_US |
dc.identifier.scopusauthorid | Lau, PWK=7102543485 | en_US |
dc.identifier.scopusauthorid | Lo, CY=16417392800 | en_US |
dc.identifier.scopusauthorid | Law, WL=7103147867 | en_US |
dc.identifier.issnl | 0002-9610 | - |