EMERGENCY RIGHT ILEOHEMICOLECTOMY. DIAGNOSISTHERAPEUTIC CONSENSUS

Ana-Maria Sârbu1, Simona Bobic1,2,V.D. Constantin1,2
1Clinical Emergency Hospital ”Sfântul Pantelimon”, Bucharest, Romania
2The University of Medicine and Pharmacy „Carol Davila”, Bucharest, Romania
Corresponding author: Ana-Maria Sârbu
Phone no. 0040741935911
E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Abstract

Right ileo-hemicolectomy is an operating procedure that is recommended in the treatment of cecum and right colon cancer. The study aims to establish a relation between this operating procedure performed on emergency hospitalized patients and the postoperative diagnosis based on the histopathological assessment of the resected part, thus evaluating the prognosis. The study was designed to note the diseases that lead to emergency right ileo-hemicolectomy in the “Sf. Pantelimon” Hospital from January 2013 to February 2016, in an observational and retrospective manner. Records included: the type of the operating procedure, the preoperative diagnosis (based on clinical and laboratory findings), the postoperative diagnosis (based on the histo-pathological assessment of the resected part), complications and the number of hospitalization days. A total of 78 patients was included. The most common diagnoses were: colon cancer, enteric infarction, specific and nonspecific inflammatory bowel diseases, volvulus and intussusception. Colon cancer affected more frequently women aged between 70 to 89, while enteric infarction was less frequent and mainly affected men aged between 60 to 69. There was no significant difference concerning the inflammatory bowel diseases between the two genders. Right colic cancer was the most frequent disease affecting patients to whom it was performed emergency right ileo-hemicolectomy, surgical treatment required by the clinical manifestations of enteric plosive syndrome. The results are in accordance with the national and foreign data on the subject.

Keywords: emergency ileo-hemicolectomy, right colon cancer

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