Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 21 ianuarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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RIGHT COLECTOMIES: INDICATIONS, TECHNIQUES, AND RESULTS, RETROSPECTIVE STUDY OF 110 PATIENTS
S. Zaytouni, Ch. Simoens, V. Thill, D. Smets, P. Mendes Da Costa
Department of Digestive, Thoracic and Laparoscopic Surgery
CHU Brugmann, ULB Brussels, Belgium
Jurnalul de chirurgie 2009; 5 (2): 140-147
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Abstract:

Background: The purpose of this retrospective study was to evaluate factors influencing morbidity and mortality associated with right or transverse colectomy. Methodology: We included all patients receiving a right or transverse colectomy from January 1-st, 2002 until December 31-st, 2007 for a total of 111 patients. Seventy-nine patients (71.8%) were treated with open surgery and 31 (28.2%) with laparoscopic surgery. Seven patients (22.6%) required a conversion from laparoscopic to open surgery. Results: Morbidity and mortality were 32.7% and 2.7%, respectively. The age, rate of local complications, duration of hospitalization and stays in the intensive care unit, tumor size, proportion of positive ganglions, and the rate of neoplasic recurrence were all statistically more common in patients treated with open surgery compared to laparoscopic surgery. There was no difference between groups in terms of male / female ratio, BMI, general morbidity, short- and long-term mortality, number of examined ganglions, and local recurrence. Patients with stage 1 disease were more common in the laparoscopic group. Conclusion: The lower rate of local morbidity, shorter hospital stay, and equivalent survival and long-term outcome recommend laparoscopic colectomy in patients whose medical status and disease stage allow for the use of this minimally invasive procedure.

KEY WORDS: RIGHT COLECTOMY; LAPAROTOMY; LAPAROSCOPY; NEOPLASM; POLYP; INFLAMMATORY BOWEL DISEASE; DIVERTICULITIS; MORBIDITY; MORTALITY

Correspondence to: P. Mendes Da Costa, MD, PhD, Professor of Surgery, Department of Digestive, Thoracic and Laparoscopic Surgery, CHU Brugmann, Place A. Van Gehuchten, 4, B–1020 Bruxelles, Belgium; e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.