Author/Editor		Repše, S; Čalić, M; Žakelj, B; Štor, Z; Juvan, R; Jelenc, F
Title		Emergency colorectal surgery: our results and complications
Type		članek
Source		Annali Italiani di chirurgia
Vol. and No.		Letnik 67
Publication year		1996
Volume		str. 205-9
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).116 (68.2%) underwent one-stage procedure with mortality rate 9.5% (11 patients), 36 (21.2%) patients underwent two-stage procedure with mortality rate 27.8% (10 patients) and 18 (10.6%) patients other procedures. 115 (167.7%) of 170 patients had malignant disease; 92/115 (80.0%) underwent one-stage procedure with mortality rate 10.9% (10 patients), 7 (6.1%) patients two-stage procedure with mortality rate 14.3% (1 patient) and 16 (13.9%) other palliative procedures (by bass, stoma). Conclusion. We believe one-stage procedure is the method of choice for the most colorectal emergencies.
Descriptors		INTESTINAL OBSTRUCTION COLON INTESTINAL PERFORATION EMERGENCIES GASTROINTESTINAL HEMORRHAGE COLONIC DISEASES RECTAL DISEASES COLORECTAL NEOPLASMS COLON RUPTURE