A STUDY ON OPERATED CASES OF DIVERTICULITIS OF THE LARGE INTESTINE
スポンサーリンク
概要
- 論文の詳細を見る
A series of 23 cases of diverticulitis of the large intestine operated on at the institution in a recent one decade were subjected to a clinical study. Their mean age was 57.5 years (range; 8 to 89). There were 13 men and 10 women, without significant difference. Affected sites were the right side of the colon in 12 patients and left side of the colon in 11 patients. Preoperative diagnoses included generalized peritonitis in 10 patients and appendicitis in seven patients. Emergency operation was performed in 16 out of these 22 patients. Except two patients who underwent appendectomy with drainage, resection of the intestine more than local excision was performed in 21 patients. Of these 21 patients, one-step approach was employed in 18 patients. Postoperative course was uneventful in 16 out of these 18 patients. However, the remaining two patients with generalized peritonitis due to left colonic deverticulitis who were associated with shock preoperatively had postoperative complications that demanded artificial colostomy and the resultant two-step or three-step operation. Five patients who were associated with shock before surgery had poor prognoses; all five patients experienced postoperative complications and two patients of them died. It is thought that, in patients with diverticulitis of the large intestine who lack in factors suggestive of poor prognosis such as preoperative shock condition, operation on an one-step approach is safely performed, but one-step approach should be avoided for patients with such risk factors, for whom two-or three-step approach is recommended.
- 日本臨床外科学会の論文
日本臨床外科学会 | 論文
- REFORT OF TWO CASES OF NON-PARASITIC CYSTS OF THE LIVER:ADVANTAGES OF PERCUTANEOUS TRANSHEPATIC DRAINAGE OF LIVER CYST
- SHALLOW DEPRESSED LESION OF THE STOMACH WITH MASSIVE HEMORRHAGE:5 case reports with a study of Exulceratio simplex (Dieulafoy)
- A case of chronic hepatitis C developing from hepatocellular carcinoma 6 years after elimination of serum HCV RNA by interferon therapy.
- SYNCHRONOUSLY OCCURRED ESOPHAGEAL CANCER AND MULTIPLE GASTRIC CANCERS -A CASE REPORT-
- A CASE OF THE SPLENIC ARTERY ANEURYSM RECONSTRUCTED BY DIRECT ANASTOMOSIS