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Resection and primary anastomosis with or without modified blow-hole colostomy for sigmoid volvulus 被引量：2

Resection and primary anastomosis with or without modified blow-hole colostomy for sigmoid volvulus
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摘要 AIM: To evaluate the efficacy of resection and primary anastomosis (RPA) and RPA with modified blow-hole colostomy for sigmoid volvulus. METHODS: From March 2000 to September 2007, 77 patients with acute sigmoid volvulus were treated. A total of 47 patients underwent RPA or RPA with modified blow-hole colostomy. Twenty-five patients received RPA (Group A), and the remaining 22 patients had RPA with modified blow-hole colostomy (Group B). The clinical course and postoperative complications of the two groups were compared. RESULTS: The mean hospital stay, wound infection and mortality did not differ significantly between the groups. Superficial wound infection rate was higher in group A (32% vs 9.1%). Anastomotic leakage was observed only in group A, with a rate of 6.3%. The difference was numerically impressive but was statistically not significant. CONCLUSION: RPA with modified blow-hole colostomy provides satisfactory results. It is easy to perform and may become a method of choice in patients with sigmoid volvulus. Further studies are required to further establish its role in the treatment of sigmoid volvulus. AIM： To evaluate the efficacy of resection and primary anastomosis （RPA） and RPA with modified blow-hole colostomy for sigmoid volvulus. METHODS： From March 2000 to September 2007, 77 patients with acute sigmoid volvulus were treated. A total of 47 patients underwent RPA or RPA with modified blow-hole colostomy. Twenty-five patients received RPA （Group A）, and the remaining 22 patients had RPA with modified blow-hole colostomy （Group B）. The clinical course and postoperative complications of the two groups were compared. RESULTS： The mean hospital stay, wound infection and mortality did not differ significantly between the groups. Superficial wound infection rate was higher in group A （32% vs 9.1%）. Anastomotic leakage was observed only in group A, with a rate of 6.3%. The difference was numerically impressive but was statistically not significant. CONCLUSION： RPA with modified blow-hole colostomy provides satisfactory results. It is easy to perform and may become a method of choice in patients with sigmoid volvulus. Further studies are required to further establish its role in the treatment of sigmoid volvulus.
作者 Sacid Coban Mehmet Yilmaz Alpaslan Terzi Fahrettin Yildiz Dincer Ozgor Cengiz Ara Saim Yologlu Vedat Kirimlioglu
机构地区 Department of General Surgery Department of General Surgery Department of General Surgery Department of Biostatistics
出处 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第36期5590-5594,共5页 世界胃肠病学杂志（英文版）
关键词 急性S形肠扭转 外科治疗 切除术 结肠造口术 Acute sigmoid volvulus Anastomosis Primary resection Surgical technique
分类号 R656.9 [医药卫生—外科学]
  • 相关文献

参考文献18

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同被引文献21

  • 1Michael Safioleas,Constantinos Chatziconstantinou,Evangelos Felekouras,Michael Stamatakos,Ioannis Papaconstantinou,Anastasios Smirnis,Panagiotis Safioleas,Alkiviades Kostakis.Clinical considerations and therapeutic strategy for sigmoid volvulus in the elderly:A study of 33 cases[J].World Journal of Gastroenterology,2007,13(6):921-924. 被引量：10
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  • 3ZinggU,PasternakI,DietrichM,etal.Primary anastomosis vs Hartmann's Procedure in Patients undergoing emergency cet~ colectomy for perforated diverticulitis [J] .Colorectal Dis,2010,12(1):54-60.
  • 4C T toure.Result of emergency colectomy in the management of the colon volvulus in Darkar hospital[J].Annales de chirurgie,2003,128(2):98-101.
  • 5De U.Sigmoid volvulus in rural Bengal[J].Trop Doct,2002,32(5):80-82.
  • 6T.Cartwright‐Terry,S.Phillips,G. L.Greenslade,A. R.Dixon.Laparoscopy in the management of closed loop sigmoid volvulus[J].Colorectal Disease.2007(4)
  • 7Alper Akcan,Hizir Akyildiz,Tarik Artis,Namik Yilmaz,Erdogan Sozuer.Feasibility of single-stage resection and primary anastomosis in patients with acute noncomplicated sigmoid volvulus[J].The American Journal of Surgery.2007(4)
  • 8B. N. S. Bhatnagar,C. L. N. Sharma,A. Gautam,A. Kakar,D. C. S. Reddy.Gangrenous sigmoid volvulus: a clinical study of 76 patients[J].International Journal of Colorectal Disease.2004(2)
  • 9Mehmet Ayhan Kuzu M.D.,Ahmet Ke??af A?lar M.D.,Atilla Soran M.D.,Arife Polat M.D.,?mer Topcu M.D.,Süleyman Hengirmen M.D.Emergent Resection for Acute Sigmoid Volvulus[J].Diseases of the Colon & Rectum.2002(8)
  • 10Erik M. Grossmann M.D.,Dr. Walter E. Longo M.D.,Michael D. Stratton M.D.,Katherine S. Virgo Ph.D.,Frank E. Johnson M.D.Sigmoid volvulus in Department of Veterans Affairs Medical Centers[J].Diseases of the Colon & Rectum.2000(3)

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World Journal of Gastroenterology
2008年 第36期

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