TITLE

One-Stage Resection and Primary Anastomosis Following Acute Obstruction of the Left Colon for Cancer

AUTHOR(S)
Chiappa, Antonio; Zbar, Andrew; Biella, Francesca; Staudacher, Carlo
PUB. DATE
July 2000
SOURCE
American Surgeon;Jul2000, Vol. 66 Issue 7, p619
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The purpose of this study was to analyze the outcome in patients with acute obstruction of the left colon for cancer and treated by intraoperative decompression, on-table lavage, resection, and primary anastomosis. Between March 1992 and May 1998, 50 patients with acute obstruction of the left colon for cancer underwent surgery. Of these, 39 patients (25 men and 14 women; mean age, 65 years; range, 23-89) were treated with intraoperative decompression, on-table lavage, resection, and primary anastomosis. Six patients (15%) had fecal localized peritonitis. Left colectomies were performed in 16 patients (32%), partial colectomies in 19 patients (38%), and anterior resections in 4 patients (8%). The primary anastomosis was intraperitoneal in 29 patients (74%) and below the peritoneal reflection of the rectum in 10 (26%). The postoperative course was uneventful in 30 of the 39 cases. One patient (3%) died (within 30 days from surgery) from septic shock and multiple organ failure syndrome. Anastomotic leakage was observed in 2 patients (6%). An intra-abdominal abscess occurred in one case (3%). Other common complications included wound infections in 3 patients (8%). This experience suggests that intraoperative decompression, on-table lavage, resection, and primary anastomosis can be performed safely in selected patients with acute obstruction of the left colon for cancer than in those with an anastomosis in the non-diverted colon. Anastomosis below the peritoneal reflection is also not a contraindication.
ACCESSION #
3360969

 

Related Articles

  • Resection for colorectal cancer in the very old: are the risks too high? Lewis, A.A.M.; Khoury, G.A. // British Medical Journal (Clinical Research Edition);2/13/1988, Vol. 296 Issue 6620, p459 

    Presents the high risk of complications on resection process of colorectal cancer in very old patients. Statistics of postoperative complications and mortality; Methodology and results of operations; Analysis between age groups.

  • Obesity: Is There an Increase in Perioperative Complications in Those Undergoing Elective Colon and Rectal Resection for Carcinoma? Blee, Thomas H.; Belzer, G. Eric; Lambert, Pamela J. // American Surgeon;Feb2002, Vol. 68 Issue 2, p163 

    The hypothesis of this study was that obese and overweight patients undergoing elective resection for colon and rectal cancer have longer operative times, increased intraoperative blood loss, and more postoperative complications compared with normal-weight individuals. Our study cohorts included...

  • 2. Secondary liver tumours.  // GP: General Practitioner;4/7/2003, p71 

    About 40-50 per cent of patients with colorectal cancer develop secondary tumours in the liver, and many of these can benefit from surgery.Some patients with metastases from gastric cancer, breast cancer, melanoma and carcinoids are also suitable for surgery. Patients with metastatic colorectal...

  • En Bloc Resection of the Duodenum for Locally Advanced Right Colon Adenocarcinoma. Hakimi, Ahmad N.; Rosing, David K.; Stabile, Bruce E.; Petrie, Beverley A. // American Surgeon;Oct2007, Vol. 73 Issue 10, p1063 

    Direct invasion of colorectal adenocarcinoma into adjacent structures occurs frequently, but only rarely is the duodenum involved. This study was undertaken to assess the safety and efficacy of en bloc resection of locally advanced right colon carcinoma invading the duodenum. A retrospective...

  • Resection of hepatic colorectal metastases involving the caudate lobe: perioperative outcome and survival. Abdalla, Eddie K.; Ribero, Dario; Pawlik, Timothy M.; Zorzi, Daria; Curley, Steven A.; Muratore, Andrea; Andres, Axel; Mentha, Gilles; Capussotti, Lorenzo; Vauthey, Jean-Nicolas // Journal of Gastrointestinal Surgery;Jan2007, Vol. 11 Issue 1, p66 

    Purpose: To examine clinical features and outcome of patients who underwent hepatic resection for colorectal liver metastases (LM) involving the caudate lobe.Patients and Methods: Consecutive patients who underwent hepatic resection for LM from May 1990 to September...

  • Adrenalectomy for Solitary Adrenal Metastasis from Colorectal Carcinoma. Katayama, Atom // Japanese Journal of Clinical Oncology;Sep2000, Vol. 30 Issue 9 

    Presents a case report which shows that surgical resection may result in survival benefit in selected patients with solitary adrenal metastasis from colorectal carcinoma. Performance of left adrenalectomy on a 60-year-old man years after his right lower pneumonectomy for a metastatic lung tumor...

  • Low anterior resection syndrome after right‐ and left‐sided resections for colonic cancer. Buchli, C.; Martling, A.; Sjövall, A. // BJS Open;Jun2019, Vol. 3 Issue 3, p387 

    Background: This population‐based cohort study aimed to evaluate occurrence of low anterior resection syndrome (LARS) and correlate this to health‐related quality of life in patients who had undergone segmental colonic resection for colonic cancer in the Stockholm–Gotland...

  • Comparison of tumour-based (Petersen Index) and inflammation-based (Glasgow Prognostic Score) scoring systems in patients undergoing curative resection for colon cancer. Roxburgh, C. S. D.; Crozier, J. E. M.; Maxwell, F.; Foulis, A. K.; Brown, J.; McKee, R. F.; Anderson, J. H.; Horgan, P. G.; McMillan, D. C. // British Journal of Cancer;3/10/2009, Vol. 100 Issue 5, p701 

    After resection, it is important to identify colon cancer patients, who are at a high risk of recurrence and who may benefit from adjuvant treatment. The Petersen Index (PI), a prognostic model based on pathological criteria is validated in Dukes’ B and C disease. Similarly, the modified...

  • Ruptured appendiceal cystadenoma presenting as right inguinal hernia in a patient with left colon cancer: A case report and review of literature. Yueh-Tsung Lee; Hurng-Sheng Wu; Min-Chang Hung; Shang-Tao Lin; Yome-Shine Hwang; Min-Ho Huang // BMC Gastroenterology;2006, Vol. 6, p32 

    Background: Mucoceles resulting from cystadenomas of the appendix are uncommon. Although rare, rupture of the mucoceles can occur with or without causing any abdominal complaint. There are several reports associating colonic malignancy with cystadenomas of the appendix. Herein, we report an...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics