지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.93 No.4
- 발행연도
- 2017.10
- 수록면
- 203 - 208 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Colonic perforation is a lethal condition presenting high morbidity and mortality in spite of urgent surgical treatment. This study investigated the surgical outcome of patients with colonic perforation associated with retroperitoneal contamination.
Methods: Retrospective analysis was performed for 30 patients diagnosed with colonic perforation caused by either inflammation or ischemia who underwent urgent surgical treatment in our facility from January 2005 to December 2014. Patient characteristics were analyzed to find risk factors correlated with increased postoperative mortality. Using the Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) audit system, the mortality and morbidity rates were estimated to verify the surgical outcomes. Patients with retroperitoneal contamination, defined by the presence of retroperitoneal air in the preoperative abdominopelvic CT, were compared to those without retroperitoneal contamination.
Results: Eight out of 30 patients (26.7%) with colonic perforation had died after urgent surgical treatment. Factors associated with mortality included age, American Society of Anesthesiologists (ASA) physical status classification, and the ischemic cause of colonic perforation. Three out of 6 patients (50%) who presented retroperitoneal contamination were deceased. Although the patients with retroperitoneal contamination did not show significant increase in the mortality rate, they showed significantly higher ASA physical status classification than those without retroperitoneal contamination. The mortality rate predicted from Portsmouth POSSUM was higher in the patients with retroperitoneal contamination.
Conclusion: Patients presenting colonic perforation along with retroperitoneal contamination demonstrated severe comorbidity. However, retroperitoneal contamination was not found to be correlated with the mortality rate.
Methods: Retrospective analysis was performed for 30 patients diagnosed with colonic perforation caused by either inflammation or ischemia who underwent urgent surgical treatment in our facility from January 2005 to December 2014. Patient characteristics were analyzed to find risk factors correlated with increased postoperative mortality. Using the Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) audit system, the mortality and morbidity rates were estimated to verify the surgical outcomes. Patients with retroperitoneal contamination, defined by the presence of retroperitoneal air in the preoperative abdominopelvic CT, were compared to those without retroperitoneal contamination.
Results: Eight out of 30 patients (26.7%) with colonic perforation had died after urgent surgical treatment. Factors associated with mortality included age, American Society of Anesthesiologists (ASA) physical status classification, and the ischemic cause of colonic perforation. Three out of 6 patients (50%) who presented retroperitoneal contamination were deceased. Although the patients with retroperitoneal contamination did not show significant increase in the mortality rate, they showed significantly higher ASA physical status classification than those without retroperitoneal contamination. The mortality rate predicted from Portsmouth POSSUM was higher in the patients with retroperitoneal contamination.
Conclusion: Patients presenting colonic perforation along with retroperitoneal contamination demonstrated severe comorbidity. However, retroperitoneal contamination was not found to be correlated with the mortality rate.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Surgical Management of Retroperitoneal Sarcoma
대한임상종양학회 학술대회지
2018 .02
-
Trauma-Induced Retroperitoneal Paraganglioma Rupture Which Was Misunderstood as a Massive Retroperitoneal Hemorrhage
Acute and Critical Care
2018 .01
-
Diagnostic approach for intra-abdominal and retroperitoneal mass
대한임상종양학회 학술대회지
2020 .07
-
Retroperitoneal paraganglioma in a 12-year-old girl.
대한외과학회 학술대회 초록집
2017 .11
-
Surgical treatment of intra-abdominal and retroperitoneal sarcoma
대한임상종양학회 학술대회지
2020 .07
-
A Large Retroperitoneal Lipoblastoma: Case Report
대한외과학회 학술대회 초록집
2022 .11
-
Increased Mortality in Young-Onset Parkinson’s Disease
Journal Of Movement Disorders
2021 .09
-
Repeated resections are not associated with adverse outcome for retroperitoneal sarcomas
대한외과학회 학술대회 초록집
2019 .10
-
Fatal retroperitoneal abscess caused by lumbar acupuncture
대한외과학회 학술대회 초록집
2017 .11
-
Public-health impact of outdoor air pollution for 2nd air pollution management policy in Seoul metropolitan area, Korea
대한직업환경의학회지
2015 .02
-
Patient outcomes and prognostic factors associated with colonic perforation surgery: a retrospective study
Journal of Yeungnam Medical Science
2022 .04
-
The role of modern radiation therapy for resectable retroperitoneal sarcoma
대한임상종양학회 학술대회지
2022 .02
-
Laparoscopic resection of retroperitoneal benign neurilemmoma
Annals of Surgical Treatment and Research
2017 .03
-
Multivisceral resection for a large retroperitoneal liposarcoma
대한임상종양학회 학술대회지
2021 .06
-
Retroperitoneal Leiomyoma With Exophytic Growing into the Lesser Sac: A Case Report
Investigative Magnetic Resonance Imaging
2023 .06
-
LN Dissection and Retroperitoneal Margins in HBP Surgery
대한임상종양학회 학술대회지
2016 .02
-
Correction: Idiopathic Retroperitoneal Fibrosis With Myofascial Pain Syndrome -A Case Report-
Annals of Rehabilitation Medicine
2017 .01
-
Safety and Feasibility of Reduced-Port Site Surgery for Robotic Posterior Retroperitoneal Adrenalectomy
대한외과학회 학술대회 초록집
2019 .10
-
식도 천공의 치료 및 임상적 분석
대한이비인후-두경부외과학회지
2016 .01
-
Retroperitoneal Hepatocellular Carcinoma Rupture Mimicking Adrenal Hematoma
대한외과학회 학술대회 초록집
2018 .11
이 논문의 저자 정보
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2018-514-001328165