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colon surgery
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  colon surgery
We examined the postoperative changes in fasting gastric myoelectric activity in 11 patients undergoing nongastric surgery (colon surgery) via celiotomy.
      
There are certain agents that should and can be used with safety and efficacy in the preoperative preparation of the colon for elective colon surgery.
      
Mechanical Bowel Preparation or Not Outcome of a Multicenter, Randomized Trial in Elective Open Colon Surgery
      
The Effect of Mechanical Bowel Preparation on Human Colonic Tissue in Elective Open Colon Surgery
      
PURPOSE: The feasibility of laparoscopic colectomy for colon surgery has now been well established.
      
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Objectives:To evaluate the correlation of preoperative albumin level(PAL) and surgical prognostic risk for digestive tract diseases. Methods:This is a retrospective study of 1009 surgical patients who were undergoing elective esophageal,gastric,pancreaticoduodenal,or colon surgery between January 1998 and December 2003.Patients were subdivided into 7 groups based on the first PAL by different 5 g/L in hospital,whose incidence of complications,mortality,postoperative stay,intensive care unit(ICU) stay,and...

Objectives:To evaluate the correlation of preoperative albumin level(PAL) and surgical prognostic risk for digestive tract diseases. Methods:This is a retrospective study of 1009 surgical patients who were undergoing elective esophageal,gastric,pancreaticoduodenal,or colon surgery between January 1998 and December 2003.Patients were subdivided into 7 groups based on the first PAL by different 5 g/L in hospital,whose incidence of complications,mortality,postoperative stay,intensive care unit(ICU) stay,and resumption of oral intake were statistically analyzed. Results:Incidence of complications and mortality increased significantly as PAL decreased(P<0.05),and patients with PAL≤35 g/L sustained a significantly higher complication rate and mortality than those with PAL>35 g/L.Patients with PAL≤35 g/L undergoing esophageal or pancreatic procedures sustained a significantly higher complication rate and mortality than those of colonic or gastric surgery.The delay of postoperative stay,ICU stay,and resumption of oral intake were related to these complication rates.Esophageal and pancreatic procedures had the longest stay days and colon procedures had the shortest in patients with PAL≤35 g/L. Conclusions:Esophageal or pancreatic procedures performed in patients with PAL≤35 g/L who could have had surgery result in higher risk than colon or gastric surgery.PAL and surgical site identify surgical risk for digestive tract diseases.

目的:探讨术前清蛋白水平(PAL)与消化道疾病手术预后的相关性。方法:回顾性分析1998年1月至2003年12月间因消化道疾病住院需外科手术治疗的病人1 009例,包括择期食管、胃、胰十二指肠及结肠手术病人,按入院第1次PAL 5 g/L的差距分成七组,观察术后并发症发生率、病死率、术后平均住院时间、ICU天数及术后恢复经口进食时间的变化。结果:术后并发症的发生率、病死率随着PAL的降低明显升高(P<0.05)。PAL≤35 g/L与PAL>35 g/L病人的并发症发生率、病死率差异显著。PAL≤35 g/L时,食管或胰腺手术病人并发症发生率、病死率显著高于结肠或胃手术病人。有术后并发症的病人,其术后住院时间、ICU天数及术后恢复经口进食时间同无并发症病人相比差异有显著性意义(P<0.01)。PAL≤35 g/L时,食管或胰腺手术病人的术后平均住院时间、ICU天数及术后恢复经口进食时间最长,而结肠手术病人的时间最短。结论:PAL≤35 g/L时接受择期食管或胰腺手术的病人,其手术风险要高于结肠或胃手术病人。PAL结合手术部位可预测消化道疾病外科手术病人的预后。

 
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