Management of malignant left colonic obstruction: is an initial temporary colostomy followed by surgical resection a better option?

2013 ◽  
Vol 15 (11) ◽  
pp. e646-e653 ◽  
Author(s):  
N. Chéreau ◽  
J. H. Lefevre ◽  
M. Lefrancois ◽  
N. Chafai ◽  
Y. Parc ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Colonic Obstruction ◽  
Temporary Colostomy

scholarly journals A Rare Cause of Colonic Obstruction “Colonic Intussusception”: Report of Two Cases

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Tayfun Yoldas ◽  
Avni Can Karaca ◽  
Safak Ozturk ◽  
Mutlu Unver ◽  
Cemil Calıskan ◽  
...  
Keyword(s):  
High Risk ◽  
Surgical Resection ◽  
Preoperative Diagnosis ◽  
Colonic Obstruction ◽  
Review Of The Literature ◽  
Benign Lesions ◽  
Anatomic Site ◽  
Risk Of Malignancy

Colocolic intussusceptions are rare clinical entities in adults and almost always caused by a leading lesion which often warrants resection. Mostly being malignant, the leading lesions are rarely benign lesions where intraluminal lipomas are the most frequent among them. Most adult intussusceptions require surgical resection owing to two major reasons: common presence of a leading lesion and significantly high risk of malignancy—reaching as high as 65% regardless of the anatomic site—of the leading lesion. Resection of the affected segment is usually the treatment of choice, since preoperative diagnosis of the lesion is usually ineffective and most leading lesions are malignant. This paper represents two cases of adult colocolic intussusception caused by intraluminal lipomas with a brief review of the literature.

scholarly journals Long-term outcomes of stenting as a bridge to surgery for acute left-sided malignant colonic obstruction.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e14032-e14032
Author(s):  
Fayez A. Quereshy ◽  
Jensen T.C. Poon ◽  
Wai Lun Law
Keyword(s):  
Overall Survival ◽  
Surgical Resection ◽  
Survival Data ◽  
Colonic Obstruction ◽  
Disease Free Survival ◽  
Bridge To Surgery ◽  
Long Term Outcomes ◽  
Short Term ◽  
Disease Free

e14032 Background: Stenting as a bridge to surgery has been increasingly applied in cases of acute left-sided colonic obstruction. This study aims to evaluate both the short and long-term outcomes associated with colonic stenting as a bridge to surgery in patients with obstructing adenocarcinoma of the colon. Methods: Patients with potentially curable acute left-sided colonic obstruction treated with stenting as a bridge to surgery (28) or with emergency surgical resection (39) from January 1998 to December 2008 were identified using a prospectively maintained database. Short-term data on post-operative mortality, morbidity, necessity of intensive care, and length of hospital stay were compared. Disease-free and overall survival data were also analyzed. Results: Patients within the two study arms had similar demographic profiles. Patients receiving preoperative stenting had a higher likelihood of a laparoscopic resection (p<0.001). Further, the emergency surgery group had a higher rate of post-operative complications (p=0.024), rate of ICU admission (p=0.013), and longer total length of stay (9 vs. 12 days, p=0.001). With a median follow-up of 26.5 and 31.3 months for the stenting and surgical resection groups respectively, there was no difference in overall and disease-free survival (overall survival = 30 vs. 31 months, p=0.858; DFS = 13 vs. 12 months, p=0.989). As well, there was no difference in the rate of systemic recurrences (8 vs. 13, p=0.991). Conclusions: Stenting as a bridge to surgery is a safe treatment strategy in the management of patients with acute left-sided colonic obstruction with improved short-term outcomes and comparable long-term oncologic results.

Hepatic tumor growth and expression of connective tissue growth factor (CTGF) after in situ abiation and surgical resection of experimental liver metastases

2001 ◽  
Vol 120 (5) ◽  
pp. A346-A346
Author(s):  
C ISBERT ◽  
J RITZ ◽  
A ROGGAN ◽  
K THOMSENMUNDT ◽  
M RUEHL ◽  
...  
Keyword(s):  
Growth Factor ◽  
Connective Tissue ◽  
Tumor Growth ◽  
Liver Metastases ◽  
Surgical Resection ◽  
Connective Tissue Growth Factor ◽  
Hepatic Tumor ◽  
Tissue Growth ◽  
Experimental Liver

Benign and malignant laryngeal lesions in patients with different type of surgical resection of the stomach

2001 ◽  
Vol 120 (5) ◽  
pp. A423-A423
Author(s):  
R CIANCI ◽  
G CAMMAROTA ◽  
A GASBARRINI ◽  
J GALLI ◽  
S AGOSTINO ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Laryngeal Lesions

Acquired aphasia in children after surgical resection of left-thalamic tumors

2000 ◽  
Vol 42 (9) ◽  
pp. 580-590 ◽  
Author(s):  
Ruth Nass ◽  
Leslie Boyce ◽  
Fern Leventhal ◽  
Beth Levine ◽  
Jeffrey Allen ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Thalamic Tumors

Pulmonary emboli due to venous aneurysm of extremities

VASA ◽  
2011 ◽  
Vol 40 (4) ◽  
pp. 327-332 ◽  
Author(s):  
Gabrielli ◽  
Rosati ◽  
Vitale ◽  
Millarelli ◽  
Siani ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Surgical Resection ◽  
Potential Risk ◽  
Acute Pulmonary Embolism ◽  
Prophylactic Surgery ◽  
Venous Aneurysm ◽  
Pulmonary Emboli ◽  
Thromboembolic Events ◽  
Thromboembolic Complications ◽  
Risk Patients

Venous aneurysms are uncommon but they can have devastating consequences, including pulmonary embolism, other thromboembolic events and death. We report six cases of venous aneurysm of the extremities, in which the first sign of presence was acute pulmonary embolism. Surgical resection is recommended whenever possible. Our experience suggests that prophylactic surgery is cautiously recommended for low-risk patients with venous aneurysms of the abdomen and strongly recommended for extremity deep and superficial venous aneurysms for their potential risk of developing thromboembolic complications despite adequate anticoagulation. Other venous aneurysms should be excised only if they are symptomatic or enlarging.

Onyx Embolization of Carotid Body Paragangliomas: An Adjunct to Safe and Effective Surgical Resection

2013 ◽  
Vol 74 (S 01) ◽  
Author(s):  
Felipe Albuquerque ◽  
Cameron McDougall ◽  
Robert Spetzler ◽  
Andrew Ducruet ◽  
Webster Crowley ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Carotid Body

Intraoperative Contrast Enhanced Ultrasound (IO-CEUS) and Color Coded Elastography (CCE) for characterization of liver lesion before surgical resection

2013 ◽  
Vol 34 (S 01) ◽  
Author(s):  
N Platz Batista da Silva ◽  
M Loss ◽  
J Rennert ◽  
AG Schreyer ◽  
S Farkas ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Liver Lesion ◽  
Contrast Enhanced Ultrasound ◽  
Contrast Enhanced
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