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
- 발행연도
- 2019.12
- 수록면
- 106 - 111 (6page)
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초록· 키워드
오류제보하기
Purpose: Whether subtotal or total colectomy with primary anastomosis (PA) is safer than Hartmann procedure (HP) for left-sided colon cancer obstruction or perforation remains controversial. The purpose of this study was to compare postoperative morbidity, mortality, and defecation frequency between PA and HP for left-sided colon cancer obstruction or perforation.
Methods: This retrospective study enrolled 54 patients from January 2014 to February 2018 who underwent emergency surgery due to left-sided colon cancer obstruction or perforation.
Results: PA was carried out in 20 patients while HP was performed for 34 patients. Thirty-day mortality did not show significant difference between the two groups (15.0% vs. 14.7%, P=1.000). No anastomotic leakage occurred in PA group while three (8.8%) cases of stump leakage occurred in HP group. Stoma repair was performed for 13 cases (44.8%) and stoma reformation was performed for one case in HP group (7.7%). Stoma related complications occurred in five cases (17.24%). For patients after stoma repair, defecation frequency at 3 months after operation was 2.91±2.88 times per day in PA group and 2.86±2.63 times per day in HP group. At 1 year after operation, defecation frequency was changed to 1.40±1.12 times per day in PA group and 1.17±0.39 times per day in HP group.
Conclusion: Primary ileosigmoid or ileorectal anastomosis for left-sided colon cancer obstruction or perforation is safe, and shows similar outcome of defecation frequency compared to HP.
Methods: This retrospective study enrolled 54 patients from January 2014 to February 2018 who underwent emergency surgery due to left-sided colon cancer obstruction or perforation.
Results: PA was carried out in 20 patients while HP was performed for 34 patients. Thirty-day mortality did not show significant difference between the two groups (15.0% vs. 14.7%, P=1.000). No anastomotic leakage occurred in PA group while three (8.8%) cases of stump leakage occurred in HP group. Stoma repair was performed for 13 cases (44.8%) and stoma reformation was performed for one case in HP group (7.7%). Stoma related complications occurred in five cases (17.24%). For patients after stoma repair, defecation frequency at 3 months after operation was 2.91±2.88 times per day in PA group and 2.86±2.63 times per day in HP group. At 1 year after operation, defecation frequency was changed to 1.40±1.12 times per day in PA group and 1.17±0.39 times per day in HP group.
Conclusion: Primary ileosigmoid or ileorectal anastomosis for left-sided colon cancer obstruction or perforation is safe, and shows similar outcome of defecation frequency compared to HP.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (26)
참고문헌 신청
McArdle CS / 2004 / Emergency presentation of colorectal cancer is associated with poor 5-year survival / Br J Surg 91:605~609
Oistamo E / 2016 / Emergency management with resection versus proximal stoma or stent treatment and planned resection in malignant left-sided colon obstruction / World J Surg Oncol 14:232
Tsuchiya A / 2018 / Mortality and morbidity after Hartmann’s procedure versus primary anastomosis without a diverting stoma for colorectal perforation: a nationwide observational study / World J Surg 42:866~875
Hoemke M / 1999 / Complicated diverticulitis of the sigmoid: a prospective study concerning primary resection with secure primary anastomosis / Dig Surg 16:420~424
Regenet N / 2003 / Primary anastomosis after intraoperative colonic lavage vs. Hartmann’s procedure in generalized peritonitis complicating diverticular disease of the colon / Int J Colorectal Dis 18:503~507
Oistamo E / 2016 / Emergency management with resection versus proximal stoma or stent treatment and planned resection in malignant left-sided colon obstruction / World J Surg Oncol 14:232
Tsuchiya A / 2018 / Mortality and morbidity after Hartmann’s procedure versus primary anastomosis without a diverting stoma for colorectal perforation: a nationwide observational study / World J Surg 42:866~875
Hoemke M / 1999 / Complicated diverticulitis of the sigmoid: a prospective study concerning primary resection with secure primary anastomosis / Dig Surg 16:420~424
Regenet N / 2003 / Primary anastomosis after intraoperative colonic lavage vs. Hartmann’s procedure in generalized peritonitis complicating diverticular disease of the colon / Int J Colorectal Dis 18:503~507
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