Laparoscopic total colectomy: Does the indication influence the outcome?

被引：7
作者：
Cotte, Eddy [1 ,2 ]
Mohamed, Faheez [2 ,3 ]
Nancey, Stephane [4 ]
Francois, Yves [1 ]
Glehen, Olivier [1 ,2 ]
Flourie, Bernard [4 ]
Saurin, Jean-Christophe [5 ]
Poncet, Gilles [5 ]
机构：
[1] Hosp Civils Lyon, Ctr Hosp Univ Lyon Sud, Dept Digest Surg, F-69495 Pierre Benite, France
[2] Univ Claude Bernard Lyon1, Fac Med Lyon Sud, F-69921 Oullins 69921, France
[3] Basingstoke & North Hampshire Fdn Trust, Colorectal Res Unit, Basingstoke, Hants, England
[4] Hosp Civils Lyon, Ctr Hosp Univ Lyon Sud, Dept Gastro enterol, F-69495 Pierre Benite, France
[5] Hosp Civils Lyon, Ctr Hosp Univ Edouard Herriot, Digest Federat, F-69008 Lyon, France
来源：
WORLD JOURNAL OF GASTROINTESTINAL SURGERY | 2011年 / 3卷 / 11期
关键词：
Colectomy; Inflammatory bowel disease; Laparoscopy; Familial adenomatous polyposis; Constipation; Colonic neoplasms; Hereditary nonpolyposis; Diverticulosis; Treatment outcomes;
D O I：
10.4240/wjgs.v3.i11.177
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
AIM: To assess and compare outcomes of laparoscopic total colectomy performed for a variety of indications. METHODS: Sixty six patients underwent laparoscopic total colectomy for inflammatory bowel disease (IBD) (13) and other diseases (53). Data on demographics, pre-and post-operative outcomes were collected prospectively. RESULTS: Mean operative time was 4.5 h. Conversion rate was 13.6%. Total colectomy performed for IBD was associated with a significantly higher anastomotic leak rate (23.1% vs 1.9%, P < 0.05). On univariate analysis, hand sewn anastomosis and treatment with more than 20 mg of prednisolone for at least 3 mo was associated with a higher anastomotic leak rate (P < 0.05). No significant difference was found in return of gut function and overall morbidity between disease groups. CONCLUSION: Laparoscopic total colectomy is feasible and outcomes are equivalent whatever the indication, except for anastomotic leak rate which is higher for patients with IBD. (C) 2011 Baishideng. All rights reserved.
引用
收藏
页码：177 / 182
页数：6
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