Emergency colorectal surgery: our results and complications.
BACKGROUND
Emergency surgery for obstruction, perforation and massive bleeding represent 10%-40% of all colorectal operations.


METHODS
Retrospective analysis of a series of 170 patients operated on in the period from 1.1.1988 to 31.12.1993.


RESULTS
170 (12.5%) of 1363 patients with colorectal pathology needed urgent surgery: 121 (71.2%) for obstruction, 39 (22.9%) for perforation and 10 (5.9%) for massive bleeding, with mortality rate 17.6% (30 patients). 116 (68.2%) underwent one-stage procedure with mortality rate 9.5% (11 patients), 36 (21.2%) patients underwent two-stage procedure with mortality rate 27.8% (10 patients) and 18 (10.6%) patients other procedures. 115 (67.7%) of 170 patients had malignant disease; 92/115 (80.0%) underwent one-stage procedure with mortality rate 10.9% (10 patients), 7 (6.1%) patients two-stage procedure with mortality rate 14.3% (1 patient) and 16 (13.9%) other palliative procedures (by bass, stoma).


CONCLUSIONS
We believe one-stage procedure is the method of choice for the most colorectal emergencies.
Repse
S
S
Surgical Gastroenterological Department, University Medical Centre Ljubljana.
Calic
M
M
Zakelj
B
B
Stor
Z
Z
Juvan
R
R
Jelenc
F
F
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy; D003093:Colitis, Ulcerative / Q000601:surgery; D003108:Colonic Diseases / Q000601:surgery*; D003110:Colonic Neoplasms / Q000601:surgery; D004239:Diverticulitis, Colonic / Q000601:surgery; D004630:Emergencies; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery; D007416:Intestinal Perforation / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D012002:Rectal Diseases / Q000601:surgery*; D012004:Rectal Neoplasms / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies