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[Colonic stenosis with primary resection (author's transl)]

K Hell

    Langenbecks Archiv Fur Chirurgie
    |November 1, 1978
    PubMed
    Summary

    Primary colon resection and reanastomosis is a safe and effective surgical option, even with colonic stenosis. This approach avoids protective colostomy in most cases, leading to favorable outcomes and reduced mortality compared to staged procedures.

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    Area of Science:

    • Colorectal Surgery
    • Surgical Oncology
    • Gastrointestinal Surgery

    Background:

    • Primary resection and reanastomosis of the colon is a common surgical choice.
    • This approach is considered even with significant stenotic elements in the colon.
    • It is feasible when water-electrolyte balance is maintained.

    Purpose of the Study:

    • To evaluate the safety and efficacy of primary colon resection and reanastomosis.
    • To assess outcomes in patients undergoing this procedure, including those with complications.
    • To compare the mortality rate with multi-stage procedures.

    Main Methods:

    • A series of 100 consecutive colonic resections were analyzed.
    • 97 patients underwent primary resection, with 92 not requiring a protective colostomy.
    • Complications included perforation (23), ileus (9), and bleeding (2).

    Main Results:

    • Primary resection and reanastomosis was performed in 97% of patients.
    • No specific adverse effects were attributed to the primary resection technique.
    • The overall mortality rate was 4%.

    Conclusions:

    • Primary colon resection and reanastomosis is a safe and effective technique.
    • It can be performed without a protective colostomy in the majority of cases.
    • This approach offers a favorable mortality outcome compared to staged surgical options.

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