One-Stage Operation for Cancer of the Left Colon with Bowel Obstruction: Do We Need On-Table Wash-Out of the Colon?

2006 ◽  
Vol 22 (1) ◽  
pp. 47-51
Author(s):  
Eligijus Poskus ◽  
Valdemaras Jotautas ◽  
Paulius Zeromskas ◽  
Eugenijus Stratilatovas ◽  
Algimantas Stasinskas ◽  
...  
2014 ◽  
Vol 33 (2) ◽  
pp. 100
Author(s):  
AmrA El-Heeny ◽  
EmadEl El-Sageer

Surgery Today ◽  
2002 ◽  
Vol 32 (9) ◽  
pp. 804-808 ◽  
Author(s):  
Dan D. Hershko ◽  
Bishara Bishara ◽  
James H. Paxton ◽  
Bruce W. Robb ◽  
Curtis J. Wray ◽  
...  

1983 ◽  
Vol 26 (4) ◽  
pp. 227-230 ◽  
Author(s):  
Alexander Aaron Deutsch ◽  
Avigdor Zelikovski ◽  
Ahud Sternberg ◽  
Raphael Reiss

2005 ◽  
Vol 7 (7) ◽  
pp. 306-313 ◽  
Author(s):  
Hipólito Durán Giménez-Rico ◽  
Carlos Abril Vega ◽  
José Herreros Rodríguez ◽  
Pilar Concejo Cútoli ◽  
Gloria Paseiro Crespo ◽  
...  

1990 ◽  
Vol 33 (3) ◽  
pp. 245-248 ◽  
Author(s):  
Reiji Terasaka ◽  
Hideaki Itoh ◽  
Yuji Nakafusa ◽  
Ken-Ichi Matsuo

2016 ◽  
Vol 175 (1) ◽  
pp. 88-94 ◽  
Author(s):  
S. A. Aliev ◽  
E. S. Aliev

The article analyzed the results of surgical treatment of obturative tumorous obstruction of the left colon in 398 patients of different age categories. The authors developed and applied the method of retrograde lavage and sanation of the colon. A new model of vacuum aspiration-wash device was designed. An application of the method of intraoperative lavage and sanation of the colon allowed performance of primary-radical operations in 149 (77,6%) patients out of 192 patients of the main group with one-stage reestablishment of colon continuity in 68 (35,4%) cases. The rate of pyoinflammatory complications were reduced from 29,4 to 19,2% due to the developed strategy of surgical treatment. It was stated, that the immediate results of surgical treatment of obturative tumorous obstruction of the left colon were improved due to the optimization of methods of intra- and postoperative lavage and sanation of the colon by upgrading of technical equipment, the wide application of obstructive versions of radical operations in combination with multicomponent and pathogenetically based intensive care. This therapy was directed to adequate correction of metabolic disorders in homeostatic system.


2010 ◽  
Vol 92 (4) ◽  
pp. 279-281 ◽  
Author(s):  
Reena Ravikumar ◽  
J Graham Williams

INTRODUCTION Gallstone ileus is an uncommon entity, which accounts for 1–4% of all presentations to hospital with small bowel obstruction and for up to 25% of all cases in patients over 65 years of age. Despite medical advances over the last 350 years, gallstone ileus is still associated with high rates of morbidity and mortality. The management of gallstone ileus remains controversial. Whilst open surgery has been the mainstay of treatment, more recently other approaches have been employed, including laparoscopic surgery and lithotripsy. However, controversy persists primarily in relation to the extent of surgery performed. MATERIALS AND METHODS A literature review was performed in an attempt to discover the optimal surgical treatment of gallstone ileus, particularly the timing of biliary surgery. Published articles were identified from the medical literature by electronic searches of Pubmed and Ovid Medline databases, using the search terms ‘gallstone ileus’, ‘gallstone/intestinal obstruction’ and ‘gallstone/bowel obstruction’. The related articles function of the search engines was also used to maximise the number of articles identified. Relevant articles were retrieved and additional articles were identified from the references cited in these articles. RESULTS AND CONCLUSIONS The literature on gallstone ileus is composed entirely of retrospective analysis of small numbers of patients accumulated over many years. The question as to whether one stage or interval biliary surgery should be performed remains unanswered and it is unlikely that further case series will help decision making in the management of gallstone ileus. Whilst many authors conclude that enterolithotomy alone is the best option in most patients, a one-stage procedure should be considered for low-risk patients.


1992 ◽  
Vol 9 (3) ◽  
pp. 155-161
Author(s):  
António C.M. de Almeida ◽  
Caetano W. Gracias ◽  
Noel M. dos Santos ◽  
Fernando J. Aldeia

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