Incidence and outcome of complications following restorative proctocolectomy
Incidence and outcome of complications following restorative proctocolectomy
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DOI：
10.1016/j.amjsurg.2005.05.001
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发表时间：
2005-07-01
影响因子：
3
通讯作者：
Fukushima, T
中科院分区：
文献类型：
--
作者：
Arai, K;Koganei, K;Fukushima, T
背景：分析296例溃疡性结肠炎患者行修复性结肠切除术的并发症。方法：96.3%的患者采用双吻合器吻合术。1期未作回肠造口术的患者占44.6%，2期患者占53%。将并发症分为早期(1个月内)和晚期(1个月后)两个阶段，计算其年发生率、平均发病时间和眼袋存活率。结果：并发症总发生率为52.7%。早期并发症(13.2%)的发生率明显低于晚期并发症(46.3%)(P<；0.05)。198例并发症中有35例(17.7%)需要手术治疗。5年和10年袋存活率分别为99%和99%。结论：术后并发症发生率与文献报道基本一致，但袋存活率很高。(C)2005年Excerpta Medica Inc.保留所有权利。
Background: Complications were analyzed in 296 patients with ulcerative colitis who underwent restorative proctocolectomy.Methods: In 96.3% of patients, the pouch was anastomosed using the double stapling method. A total of 44.6% of patients underwent restorative proctocolectomy in1 stage without ileostomy and 53% in 2 stages. Complications were divided into 2 stages: early (within 1 month) and late (after 1 month); moreover, the annual incidences were calculated, mean onset time, and pouch survival rate.Results: The overall incidence of complications was 52.7%. Early complications (13.2%) occurred significantly less often than late complications (46.3%) (P < .05). Thirty-five (17.7%) of 198 complications required surgery. The cumulative 5- and 10-year pouch survival rate was 99%, respectively.Conclusions: The rate of complications after restorative proctocolectomy was almost equivalent to that in other reports, but the pouch survival rate was very high. (c) 2005 Excerpta Medica Inc. All rights reserved.