Background: Post operative generalized peritonitis is a serious complication of abdominal surgery with a high mortality rate. Objectives: 1) To figure out the mortality rate of patients with generalized peritonitis after colon surgery. 2) To discover the risk factors for intensive care. Subjects and method: The retrospective research was conducted on the records of all patients with post-operative generalized peritonitis in Binh Dan Hospital. The patients with generalized peritonitis that were not related to colon surgery were exempted. The data was processed by SPSS. 11.5 software. Results: During 6 years from Jan 1998 to Jan 2004, there were 38 patients (26 men, 12 women) that met the research criteria were included. Ages of patients ranged from 23 to 91, with most of them being 41 years of age or more. The mortality rate was 31.6% (12 cases). There was no difference in mortality rate between male and female. High risk factors included age over 60; underlying malignant disease and late re-operation. Conclusion: The mortality rate of patients with post-operative peritonitis after colon surgery remained high. Intervention as soon as the peritonitis signs were presented (within 24hrs) was an important factor that impacted on prognosis.
Mortality ; Peritonitis ; Colon surgery

Colon ; physiopathology ; Constipation ; etiology ; surgery ; Humans

To evaluate the protection of proximal colon segment by analyzing blood supply disorder of proximal colon segment during laparoscopic proctosigmoidectomy(11 cases) in the Chaoyang Hospital of Capital Medical University. It is concluded that the disorder of blood supply of proximal colon segment during laparoscopic proctosigmoid surgery has two reasons. One is the anatomic factor of mesenteric vessels; the other is the inappropriate operative procedure. It is recommended that left colonic artery should be retained, and inferior mesenteric artery should be handled at a low level, thus, the risk of proximal intestine blood supply disorder caused by vascular anatomy variation can be reduced.
Colon, Sigmoid ; surgery ; Humans ; Laparoscopy ; methods ; Rectum ; surgery

Adult ; Colon ; Ganglioneuroma/surgery* ; Humans ; Intestinal Neoplasms/surgery*

Anastomosis, Surgical ; Colon, Sigmoid/surgery* ; Colorectal Neoplasms/surgery* ; Humans ; Robotics

PURPOSE: The aim of the present study was to evaluate the usefulness of indocyanine green (ICG) as a preoperative marking dye for laparoscopic colorectal surgery. METHODS: Between March 2013 and March 2015, 174 patients underwent preoperative colonoscopic tattooing using 1.0 to 1.5 mL of ICG and saline solution before laparoscopic colorectal surgery. Patients’ medical records and operation videos were retrospectively assessed to evaluate the visibility, duration, and adverse effects of tattooing. RESULTS: The mean age of the patients was 65 years (range, 34–82 years), and 63.2% of the patients were male. The median interval between tattooing and operation was 1.0 day (range, 0–14 days). Tattoos placed within 2 days of surgery were visualized intraoperatively more frequently than those placed at an earlier date (95% vs. 40%, respectively, P < 0.001). For tattoos placed within 2 days before surgery, the visualization rates by tattoo site were 98.6% (134 of 136) from the ascending colon to the sigmoid colon. The visualization rates at the rectosigmoid colon and rectum were 84% (21 of 25) and 81.3% (13 of 16), respectively (P < 0.001). No complications related to preoperative ICG tattooing occurred. CONCLUSION: Endoscopic ICG tattooing is more useful for the preoperative localization of colonic lesions than it is for rectal lesions and should be performed within 2 days before laparoscopic surgery.
Colon ; Colon, Ascending ; Colon, Sigmoid ; Colorectal Surgery* ; Humans ; Indocyanine Green* ; Laparoscopy ; Male ; Medical Records ; Rectum ; Retrospective Studies ; Sodium Chloride ; Tattooing*

Splenic flexure mobilization during laparoscopic colorectal surgery, which is used for elongation of the remaining colon after resecting the left colon or rectum, is sometimes essential for making a secure anastomosis without tension. However, laparoscopic splenic flexure mobilization is often time consuming and technically demanding, particularly in obese patients with severe adhesion. Therefore, three surgical approaches are introduced to make the procedure easier according to the method of entering the lesser sac: anterior approach, inferio-medial approach, and lateral approach.
Colon ; Colon, Transverse ; Colorectal Surgery ; Humans ; Laparoscopy ; Methods ; Peritoneal Cavity ; Rectum

Although the stomach is the first choice for esophageal reconstruction following esophagectomy, the colon interposition would be the best one when stomach removed or diseased. The colon reconstruction for esophagus, therefore, is the inevitable procedure in esophageal surgery. This paper focused on the colon interposition in terms of history, anatomy point, critical skills, and future prospect.
Colon ; surgery ; Esophageal Neoplasms ; surgery ; Esophagectomy ; methods ; Humans ; Reconstructive Surgical Procedures ; Stomach ; surgery

OBJECTIVETo study the feasibility of subtotal colectomy with cecorectal end-side anastomosis for slow transit constipation.

METHODSRetrospective analysis was performed on 23 patients with colon slow transit constipation treated by subtotal colectomy with cecorectal end-side anastomosis in our department from March 2006 to April 2013. The main measure outcome was the curative effect on constipation by this type of surgery.

RESULTSTwenty-three patients were successfully treated. Anastomotic leakage occurred in one case, and urinary retention in 1 case, while no anastomotic stricture, abdominal bleeding, abdominal hernia, incontinence and other complications occurred. During follow-up of 2 months to 7 years, defecation frequency was 1-4 times a day with no need of antidiarrheal agents. Each time of defecation was less than 5 min. All the patients had no recurrence of constipation.

CONCLUSIONSubtotal colectomy with cecorectal end-side anastomosis can be used to treat colon slow transit constipation, while accurate preoperative evaluation and strict indications for the surgery is the key to success.

Anastomosis, Surgical ; Cecum ; surgery ; Colectomy ; Colon ; surgery ; Constipation ; surgery ; Defecation ; Humans ; Retrospective Studies ; Treatment Outcome

Adult ; Colon, Sigmoid ; surgery ; Female ; Humans ; Laparoscopy ; methods ; Rectum ; surgery ; Surgically-Created Structures ; Vagina ; abnormalities ; surgery