Colorectal stapled anastomoses

Hansen, Olaf; Schwenk, W.; Hucke, Hans-Peter; Stock, Wolfgang G.

doi:10.1007/bf02048265

Cited by 63 publications

(41 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hansen et al [18]and Van Tets et al [19]questioned the role of covering stomas. They concluded that a stapled colorectal anastomosis is sufficiently safe without a covering stoma.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Temporary Stomas

et al. 2002

View full text Add to dashboard Cite

Purpose: The purpose of this study was to examine the outcome of patients to whom a temporary stoma was constructed in our institution. Method: The outcome of patients operated on over an 8-year period was prospectively examined. Special attention was given to the influence of age on complications and closure of stomas. Results: Between 1989 and 1996, a total of 349 intestinal stomas were constructed in 342 patients. In 141 of these patients, the stoma could be considered as temporary. The 30-day mortality rate was 7%. The overall complication rate was 50%. Pure stoma-related complications were observed in 12% of the patients. The final closure rate of temporary stomas was 67%. The closure rate was significantly higher if the temporary stomas were of the double-barrel type. There was no significant difference in the closure rate between patients with benign and malignant diseases, but the rate decreased significantly in age groups over 70 years. Conclusions: Forty percent of stomas constructed are considered as temporary, but only two-thirds of temporary stomas are closed subsequently. Especially end stomas tend to become permanent in patients over 70 years of age, although the morbidity rates of stoma closure do not differ from those of younger patients.

show abstract

“…Hansen et al [18]and Van Tets et al [19]questioned the role of covering stomas. They concluded that a stapled colorectal anastomosis is sufficiently safe without a covering stoma.…”

Section: Discussionmentioning

confidence: 99%

Outcome of Temporary Stomas

et al. 2002

View full text Add to dashboard Cite

show abstract

“…[11][12][13] The reason for this incidence of postoperative pneumonia is a prolonged impairment of pulmonary function induced by laparotomy. [3][4][5][6][7]23 After a midline laparotomy, pulmonary function is depressed to about 50% of the preoperative value, 3,5,6,23 and complete recovery of pulmonary function after abdominal surgery usually takes 7 or more days.…”

Section: Commentmentioning

confidence: 99%

“…1,[7][8][9][10] Pneumonia is clinically apparent in more than 5% of all patients undergoing elective conventional colorectal resection and constitutes the most common general postoperative complication after conventional colorectal resection. [11][12][13] Pulmonary function is better after simple laparoscopic procedures than after conventional surgery. Arterial oxygen saturation (SaO 2 ) is less impaired and at-electasis occurs less often after laparoscopic than after conventional cholecystectomy.…”

mentioning

confidence: 99%

Pulmonary Function Following Laparoscopic or Conventional Colorectal Resection

Schwenk¹

1999

Arch Surg

Self Cite

163

View full text Add to dashboard Cite

Background: Laparotomy causes a significant reduction of pulmonary function, and atelectasis and pneumonia occur after elective conventional colorectal resections.Objective: To evaluate the hypothesis that pulmonary function is less restricted after laparoscopic than after conventional colorectal resection.Design: A randomized clinical trial.Setting: The surgical department of an academic medical center.Patients: Sixty patients underwent laparoscopic (n = 30) or conventional (n = 30) resection of colorectal tumors. The 2 groups did not differ significantly in age, sex, localization or stage of tumor, or preoperative pulmonary function.Main Outcome Measures: Forced vital capacity, forced expiratory volume in 1 second, peak expiratory flow, midexpiratory phase of forced expiratory flow, and oxygen saturation of arterial blood.

show abstract

“…Data were analyzed with the use of a two-way ANOVA, with PODs and treatment group (SAL and 5-FU) as the independent variables and percentage weight change, BP, BE, and gene expression as the dependent variables, to determine the overall significant differences across groups. StudentNewman-Keuls t test was used for post hoc pairwise comparisons, and 2 analysis was used to compare observations of bursting site, deaths, and anastomotic dehiscence (Sigmastat, Jandel Corporation, San Rafael, CA). All values are expressed as mean Ϯ (SEM) unless otherwise stated.…”

Section: Methodsmentioning

confidence: 99%

“…Dehiscence of colonic anastomoses is usually a rare event, however, when it does occur, morbidity and mortality rates are greatly increased [1][2][3][4]. Advances in perioperative care, bowel preparation, and surgical techniques have all been cited as factors contributing to a reduction in the incidence of colonic dehiscence [5][6][7].…”

Section: Introductionmentioning

confidence: 99%