Primary mechanical stapled anastomosis in surgery for colorectal emergencies

Acta chirurgica Belgica
E ChelalaJ L Allé

Abstract

From May 91 to March 99 a consecutive series of 100 acute obstructions or perforations of the left colon or rectum were treated by primary resection with mechanical anastomosis using a double or triple stapling technique without proximal colostomy. There were 8 postoperative deaths (8%) due to sepsis, acute respiratory distress syndrome, pulmonary embolism, stroke, and cachexy. Complications occurred in 29% of surviving patients. Clinical anastomotic leaks were observed in 7%, respiratory infection in 8%, wound infection in 8% and major cardiovascular problems in 4% of patients. The median hospital stay was 19 days. The morbidity and mortality of this series did not exceed the cumulative morbidity and mortality that can be expected after staged surgery. Compared with staged surgery, immediate resection and anastomosis using an entirely mechanical suture, thereby avoiding the problems of colostomy and reducing the length of hospital stay, has significant advantages for patients.

Citations

Oct 18, 2005·Diseases of the Colon and Rectum·Sebastiano BiondoEduardo Jaurrieta
Sep 15, 2006·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·T E PavlidisA Sakantamis
Sep 28, 2005·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·Hipólito Durán Giménez-RicoHipólito Durán Sacristán

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