急诊结直肠手术：我们的结果与并发症

Emergency colorectal surgery: our results and complications.

作者信息

Repse S, Calic M, Zakelj B, Stor Z, Juvan R, Jelenc F

机构信息

Surgical Gastroenterological Department, University Medical Centre Ljubljana.

出版信息

Ann Ital Chir. 1996 Mar-Apr;67(2):205-9.

PMID:8791824

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 (67.7%) 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.

摘要

背景

因梗阻、穿孔和大量出血而进行的急诊手术占所有结直肠手术的10% - 40%。

方法

对1988年1月1日至1993年12月31日期间接受手术的170例患者进行回顾性分析。

结果

1363例结直肠疾病患者中有170例（12.5%）需要急诊手术：121例（71.2%）因梗阻，39例（22.9%）因穿孔，10例（5.9%）因大量出血，死亡率为17.6%（30例患者）。116例（68.2%）接受一期手术，死亡率为9.5%（11例患者），36例（21.2%）患者接受二期手术，死亡率为27.8%（10例患者），18例（10.6%）患者接受其他手术。170例患者中有115例（67.7%）患有恶性疾病；92/115例（80.0%）接受一期手术，死亡率为10.9%（10例患者），7例（6.1%）患者接受二期手术，死亡率为14.3%（1例患者），16例（13.9%）接受其他姑息性手术（造瘘、造口）。