[Minimal intestinal preparation before colectomy for cancer. Experience of 189 cases].
189 cases of colectomy for cancer have undergone limited bowel preparation by one or two enemas the day before surgery. The anastomosis has been performed manually with a continuous suture of resorbable material. Hospital mortality is 1.6% for the whole series and limited to 0.5% for elective resections despite the old age of the patients included (70.6 +/- 11 years, with 40.7% more than 75 years). Morbidity rate is 13.9% and of 2.6% for local septic complications. No clinical anastomotic dehiscence was demonstrated. From these results, poor local bowel preparation does not appear to be a risk factor of colectomy for cancer.
Mansvelt
B
B
Département de Chirurgie, Centre Hospitalier Princesse Grace, Monaco.
Arrigo
E
E
Passelecq
E
E
Gavelli
A
A
Harb
J
J
Huguet
C
C
D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D003082:Colectomy; D003110:Colonic Neoplasms / Q000601:surgery*; D004733:Enema / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D011446:Prospective Studies
Préparation intestinale a minima avant colectomie pour cancer. Expérience de 189 cas.