[Carcinoma of the splenic flexure].
The Authors report their experience in the management of 25 cancers of the splenic flexure corresponding to 4.8% of large bowel cancers overall observed. Twelve patients underwent elective surgery consisting in a left hemicolectomy, which in 1 of the 12 cases required an associated distal splenopancreatectomy. Operative mortality was null, whereas morbidity involved 1 case of anastomotic dehiscence. Thirteen patients presenting with complete obstruction underwent emergency surgery: a two-stage resection with primary colostomy was performed in 5 cases, a sub-total colectomy with one-stage ileo-rectal anastomosis or ileo-sigmoid anastomosis was performed in 8 cases. In this last group of 8 patients mortality rate was 12.5% (1 pt.) and diarrhoea was the most important sequela. On this regard the Authors point out the opportunity to perform an ileo-sigmoidostomy, which reduces the incidence of such complication.
Gabriele
R
R
Anatomia Chirurgica, Università degli Studi La Sapienza, Roma.
De Toma
G
G
Campli
M
M
Sgarzini
G
G
Adami
E A
EA
D000368:Aged; D000714:Anastomosis, Surgical; D003082:Colectomy; D012809:Colon, Sigmoid / Q000601:surgery; D003125:Colostomy; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy; D011183:Postoperative Complications; D012007:Rectum / Q000601:surgery; D013160:Splenic Neoplasms / Q000601:surgery*
Il carcinoma della flessura splenica.