Primary colon resection or Hartmann's procedure in malignant left-sided large bowel obstruction? The use of stents as a bridge to surgery

查看全文 作　　者：Reinhart T [1]Grundmann

机构地区：[1]Formerly Kreiskliniken Alt tting,D-84489 Burghausen,Germany

出　　处：《World Journal of Gastrointestinal Surgery》索引2013年第5卷第1期,共4页

摘　　要：There is still significant debate regarding the best surgical treatment for malignant left-sided large bowel obstruction.Primary resection and anastomosis offers the advantages of a definite procedure without need for further surgery.Its main disadvantages are related to the increased technical challenge and to the potential higher risk of anastomotic leakage that occurs in the emergency setting.Primary resection with end colostomy(Hartmann's procedure) is considered the safer option.Tan et al compared in a systematic review and meta-analysis the use of self-expanding metallic stents(SEMS) as a bridge to surgery vs emergency surgery in the management of acute malignant left-sided large bowel obstruction.The authors concluded that the technical and clinical success rates for stenting were lower than expected.SEMS was associated with a high incidence of clinical and silent perforation.Stenting instead of loop colostomy can be recommended only if the appropriate expertise is available in the hospital.The goal of stenting,a decrease of the stoma rate,may be advocated only if the complication rates of stenting are lower than those of stoma creation in the emergency situation.Until now,this was not demonstrated in a prospective randomized trial. 关键词：Left-sided large BOWEL OBSTRUCTION Hartmann’s PROCEDURE PRIMARY ANASTOMOSIS BOWEL stent Emergency treatment

相关文献

参考文献（21）
引证文献（6）
耦合文献（0）

参考文献(21)

引证文献(6)

互联网出版许可证新出网证(渝)字10号全国400电话 - 免长途话费

Primary colon resection or Hartmann's procedure in malignant left-sided large bowel obstruction? The use of stents as a bridge to surgery

参考文献(21)

引证文献(6)

用户提示