+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Transabdominal resection and extraperitoneal anastomosis in the treatment of carcinoma of the upper rectum and lower sigmoid colon

, : Transabdominal resection and extraperitoneal anastomosis in the treatment of carcinoma of the upper rectum and lower sigmoid colon. Zhonghua Waike Zazhi 13(3): 212-214

This report deals with the treatment of 53 cases of carcinoma of the upper rectum and lower sigmoid colon by transabdominal excision and extraperitoneal anastomosis, with special emphasis on the prevention of breaking down of the anastomosis. There was no operative mortality in this series. Breaking down of the anastomosis occurred in 4 cases (7.5%) and was the only complication in this series. In 2 of the cases it was due to inadequate preparation of the bowel, and in the other 2, it was related to the fact that the anastomosis was done under too much tension. In all these 4 cases, supplementary colostomy was not done at the time of operation. Breaking down of the anastomosis usually occurs 4 to 8 days after the operation, and healing frequently takes place shortly after the establishment of drainage. Should the leakage be of considerable size and accompanied by systemic reaction to the infection, colostomy should be done. This was carried out in 3 out of 4 cases in this series, and none of them developed any severe infection. In order to prevent recurrence at the site of anastomosis, the authors usually doubly ligated the bowel proximal to the tumor-bearing area with heavy silk. A right angle clamp was applied at the level of the bowel distal to the tumor where an incision was intended to be made. The anal canal and the lumen of that portion of the rectum to be preserved were thoroughly irrigated with 1:500 mercuric chloride or freshly prepared Dakin's solution. The proximal stump of the colon was similarly treated just before the performance of the anastomosis. No local recurrence was discovered in the radical resections in this series.


Other references

Kitas, G.D., 2012: Interview with Professor George D. Kitas, Chair of Excellence in Rheumatology. Seminars in Arthritis and Rheumatism 41(2): 315-317

Hudson, M.; Steele, R.; Baron, M., 2007: Update on indices of disease activity in systemic sclerosis. The study has investigated the feasibility of using siderite-coated quartz sand and/or hematite-coated quartz sand columns for removing As from water. Arsenic-spiked tap water and synthetic As solution with As concentrations from 200 to 500 mug/L...

Bauer, H.; Huter, M.; Larcher, W., 1969: The influence and after-effects of heat and cold stress on the CO2-exchange of Silver Fir and Sycamore Maple. In 5-year-old potted plants of Abies alha and Acer pseudoplatanus, after exposure to low temperatures (down to -24 degrees C.) for 2 hr., a return to normal (20 degrees C.) induced a sudden rise in dark respiration, the rise being higher and more...

Peskov, B.Ia.; Piatin, V.F., 1985: Bulbar chemoreceptors of respiration. Fiziologicheskii Zhurnal SSSR Imeni I. M. Sechenova 71(3): 293-303

Platzer, K.M., 1968: Mandibular incisor-canine transposition. Transposed teeth are found occasionally. Several causes of dental transposition are movement of the developing teeth within the jaws before they erupt in the oral cavity, over-retention of deciduous teeth and premature loss of deciduous teeth. Thi...

Belokrylov G.A.; Turovskii V.C., 1984: Comparative characteristics of the immunostimulating activity of low molecular weight polypeptides from the calf thymus and cerebral cortex. The influence of low molecular polypeptides prepared from the calf thymus and cerebral cortex on the thymus-dependent immune response was studied in mice. An active stimulator of the thymus dependent immune response can be isolated from the cerebr...

Scheicher, C.; Corban, H.; Hof, V.; Robbers, M.; Reske, K., 1997: The TH1 lymphokine interferon-gamma is a potent upregulator of dendritic cells with phagocytic capacity in GM-CSF supplemented bone marrow cultures. Advances in Experimental Medicine and Biology 417: 221-225

Nusser, N.; Pap, M.; Szeberenyi, J.; Cooper, G.M., 1994: Ras-dependent and -independent regulation of expression and phosphorylation of early-response gene products in NGF-stimulated PC12 cells. Cell Biology International 18(5): 487

Shiomi, A., 1995: Idiopathic scoliosis by spinal fusion and brace treatment: evaluation by gait analysis. We have investigated the differences in gait between 68 idiopathic scoliosis patients and 186 normal subjects, and differences in gait before and after treatment of the scoliosis by two different methods. The idiopathic scoliosis patients were div...

Chi-Hsin Hsu; Wen-Ming Hsu, 2011: Cavernous Hemangioma of the Orbit 42 Patients. To analyze clinical features and treatment results of 42 patients with cavernous hemangioma of orbit. Interventional cases series. Between 1976 and 211, 42 patients with pathologically proven cavernous hemangioma of the orbit were referred to, and...