Damage control surgery for acute superior mesenteric occlusion
10.3760/cma.j.issn.1007-631X.2014.09.015
- VernacularTitle:损伤控制外科在急性肠系膜动脉闭塞性疾病中的应用
- Author:
Zhao ZHANG
;
Guoxun LI
;
Ximo WANG
;
Yali XING
;
Tao JIANG
- Publication Type:Journal Article
- Keywords:
Mesenteric vascular occlusion;
Diagnosis;
Damage control surgery
- From:
Chinese Journal of General Surgery
2014;29(9):712-714
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the outcome of damage control sugery in patients with acute superior mesenteric occlusion (ASMO).Methods Seventeen patients with acute superior mesenteric occlusion from June 2008 to May 2012 were reviewed retrospectively.Diagnosis was confirmed by CT and/or DSA.Patients were divided into two groups:seven patients in damage control group (shortening surgical time,bowel exteriorization,temporary abdominal closure) ; ten patients in conventional surgical treatment group.The treatment outcomes of the two groups were compared.The survival of all patients was followed up for 6 months to 5 years at outpatient clinic.Results The overall mortality rate was (5/17) and surgical complications rate was (8/17).Operation time was (97 ±42) min and (236 ± 137) min(t =-4.72,P ＜0.01,P ＜ 0.05) respectively in damage control group and conventional surgical treatment group.Intestine resection length was (114 ± 94) cm and (229 ± 93) cm (t =-2.49,P =0.03,P ＜ 0.05) respectively.Complications rate was (1/7) and (7/10) (Fisher's dxact test P =0.05,P ≤0.05) respectively; mortality was (1/7) and (4/10) (Fisher's dxact test P =0.34,P ＞ 0.05) respectively.Conclusions Although damage control does not significantly reduce mortality,but the rational use of damage control can effectively reduce operation time,shorten intestine resection length and decrease surgical complications.
