Side-to-end anastomosis in a colostomy for acute malignant large-bowel obstruction: Side-to-end anastomosis with a colostomy (STEC procedure)

被引：1

作者：

Fukami, Yasuyuki ^{[1
]}

Terasaki, Masaki ^{[1
]}

Sakaguchi, Kenji ^{[1
]}

Murata, Toru ^{[1
]}

Ohkubo, Masayuki ^{[1
]}

Nishimae, Kazumi ^{[1
]}

机构：

[1] Shizuoka Saiseikai Gen Hosp, Dept Surg, Shizuoka 4228527, Japan

来源：

SURGERY TODAY | 2009年 / 39卷 / 03期

关键词：

Malignant large-bowel obstruction; Colostomy; Side-to-end anastomosis with colostomy; STEC procedure; EMERGENCY-SURGERY; LEFT COLON; MANAGEMENT;

D O I：

10.1007/s00595-008-3817-4

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

This report describes the use of side-to-end anastomosis in a colostomy for an acute malignant large-bowel obstruction. A 59-year-old man presented with a colonic obstruction due to advanced descending colon cancer. The preoperative imaging studies revealed a complete obstruction of the descending colon at the site of the splenic flexure, a remarkably dilated transverse colon, and no other metastatic lesions. Side-to-end anastomosis was performed with the colostomy because of the high comorbidity associated with such cases. When the patient's general condition improved, a stoma closure was performed under local anesthesia. In conclusion, a side-to-end anastomosis with a colostomy (STEC procedure) was found to be a simple, useful, and cost-effective technique for an acute malignant large-bowel obstruction, particularly in a high-risk patient.

引用

页码：265 / 268

页数：4

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