Author/Editor | Repše, S; Čalić, M; Žakelj, B; Štor, Z; Juvan, R; Jelenc, F | |
Title | Emergency colorectal surgery | |
Type | članek | |
Source | In: Repše S, editor. Zbornik simpozija Kirurgija širokega črevesa in danke; 1996; Ljubljana. Ljubljana: Klinični center, Kirurške klinika, | |
Publication year | 1996 | |
Volume | str. 267-76 | |
Language | eng | |
Abstract | Background. Emergency surgery for obstruction, perforation and massive bleeding represent 10-40 % of all colorectal operations. Methods. Retrospective analysis of a series of 170 patients operated on in the period from 1.1.1988 to 31.12.1993. Results. 170 (12,5 %) of 1363 patients with colorectal pathology needed urgent surgery: 121 (71,2 %) for obstruction, 39 (22,9 %) for perforation and 10 (5,9 %) for massive bleeding, with mortality rate 17,6 % (30 patients). 115 (67,7 %) of 170 patients had malignant disease; 92 (80,0 %) underwent one-stage procedure with mortality rate 10,8 % (10 patients), 7 (6,0 %) patients underwent two-stage procedure with mortality rate 14,3 % (1 patient) and 16 (14 %) patients other palliative procedures (by pass, stoma). Conclusion. We believe one-stage procedure is the method of choice for the most colorectal emergencies. | |
Descriptors | COLORECTAL NEOPLASMS EMERGENCIES |