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Surgical Management of Sigmoid Volvulus: A Multicenter Observational Study
PURPOSE: This study aimed to evaluate real-world clinical outcomes from surgically treated patients for sigmoid volvulus. METHODS: Five tertiary centers participated in this retrospective study with data collected from October 2003 through September 2018, including demographic information, preoperat...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Coloproctology
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837394/ https://www.ncbi.nlm.nih.gov/pubmed/33486909 http://dx.doi.org/10.3393/ac.2020.03.23 |
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author | Lee, Keunchul Oh, Heung-Kwon Cho, Jung Rae Kim, Minhyun Kim, Duck-Woo Kang, Sung-Bum Kim, Hyung-Jin Park, Hyoung-Chul Shin, Rumi Heo, Seung Chul Ryoo, Seung-Bum Park, Kyu Joo |
author_facet | Lee, Keunchul Oh, Heung-Kwon Cho, Jung Rae Kim, Minhyun Kim, Duck-Woo Kang, Sung-Bum Kim, Hyung-Jin Park, Hyoung-Chul Shin, Rumi Heo, Seung Chul Ryoo, Seung-Bum Park, Kyu Joo |
author_sort | Lee, Keunchul |
collection | PubMed |
description | PURPOSE: This study aimed to evaluate real-world clinical outcomes from surgically treated patients for sigmoid volvulus. METHODS: Five tertiary centers participated in this retrospective study with data collected from October 2003 through September 2018, including demographic information, preoperative clinical data, and information on laparoscopic/open and elective/emergency procedures. Outcome measurements included operation time, postoperative hospitalization, and postoperative morbidity. RESULTS: Among 74 patients, sigmoidectomy was the most common procedure (n = 46), followed by Hartmann’s procedure (n = 23), and subtotal colectomy (n = 5). Emergency surgery was performed in 35 cases (47.3%). Of the 35 emergency patients, 34 cases (97.1%) underwent open surgery, and a stoma was established for 26 patients (74.3%). Elective surgery was performed in 39 cases (52.7%), including 21 open procedures (53.8%), and 18 laparoscopic surgeries (46.2%). Median laparoscopic operation time was 180 minutes, while median open surgery time was 130 minutes (P < 0.001). Median postoperative hospitalization was 11 days for laparoscopy and 12 days for open surgery. There were 20 postoperative complications (27.0%), and all were resolved with conservative management. Emergency surgery cases had a higher complication rate than elective surgery cases (40.0% vs. 15.4%, P = 0.034). CONCLUSION: Relative to elective surgery, emergency surgery had a higher rate of postoperative complications, open surgery, and stoma formation. As such, elective laparoscopic surgery after successful sigmoidoscopic decompression may be the optimal clinical option. |
format | Online Article Text |
id | pubmed-7837394 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Korean Society of Coloproctology |
record_format | MEDLINE/PubMed |
spelling | pubmed-78373942021-02-02 Surgical Management of Sigmoid Volvulus: A Multicenter Observational Study Lee, Keunchul Oh, Heung-Kwon Cho, Jung Rae Kim, Minhyun Kim, Duck-Woo Kang, Sung-Bum Kim, Hyung-Jin Park, Hyoung-Chul Shin, Rumi Heo, Seung Chul Ryoo, Seung-Bum Park, Kyu Joo Ann Coloproctol Original Article PURPOSE: This study aimed to evaluate real-world clinical outcomes from surgically treated patients for sigmoid volvulus. METHODS: Five tertiary centers participated in this retrospective study with data collected from October 2003 through September 2018, including demographic information, preoperative clinical data, and information on laparoscopic/open and elective/emergency procedures. Outcome measurements included operation time, postoperative hospitalization, and postoperative morbidity. RESULTS: Among 74 patients, sigmoidectomy was the most common procedure (n = 46), followed by Hartmann’s procedure (n = 23), and subtotal colectomy (n = 5). Emergency surgery was performed in 35 cases (47.3%). Of the 35 emergency patients, 34 cases (97.1%) underwent open surgery, and a stoma was established for 26 patients (74.3%). Elective surgery was performed in 39 cases (52.7%), including 21 open procedures (53.8%), and 18 laparoscopic surgeries (46.2%). Median laparoscopic operation time was 180 minutes, while median open surgery time was 130 minutes (P < 0.001). Median postoperative hospitalization was 11 days for laparoscopy and 12 days for open surgery. There were 20 postoperative complications (27.0%), and all were resolved with conservative management. Emergency surgery cases had a higher complication rate than elective surgery cases (40.0% vs. 15.4%, P = 0.034). CONCLUSION: Relative to elective surgery, emergency surgery had a higher rate of postoperative complications, open surgery, and stoma formation. As such, elective laparoscopic surgery after successful sigmoidoscopic decompression may be the optimal clinical option. Korean Society of Coloproctology 2020-12 2020-12-31 /pmc/articles/PMC7837394/ /pubmed/33486909 http://dx.doi.org/10.3393/ac.2020.03.23 Text en Copyright © 2020 The Korean Society of Coloproctology This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lee, Keunchul Oh, Heung-Kwon Cho, Jung Rae Kim, Minhyun Kim, Duck-Woo Kang, Sung-Bum Kim, Hyung-Jin Park, Hyoung-Chul Shin, Rumi Heo, Seung Chul Ryoo, Seung-Bum Park, Kyu Joo Surgical Management of Sigmoid Volvulus: A Multicenter Observational Study |
title | Surgical Management of Sigmoid Volvulus: A Multicenter Observational Study |
title_full | Surgical Management of Sigmoid Volvulus: A Multicenter Observational Study |
title_fullStr | Surgical Management of Sigmoid Volvulus: A Multicenter Observational Study |
title_full_unstemmed | Surgical Management of Sigmoid Volvulus: A Multicenter Observational Study |
title_short | Surgical Management of Sigmoid Volvulus: A Multicenter Observational Study |
title_sort | surgical management of sigmoid volvulus: a multicenter observational study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7837394/ https://www.ncbi.nlm.nih.gov/pubmed/33486909 http://dx.doi.org/10.3393/ac.2020.03.23 |
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