A sutura mecânica na cirurgia do cancro do recto. Experiência de 100 casos.

The authors relate their experience with 100 cases of anterior resections operated using stapling techniques, 43 with double stapling. Fifty three were males and forty seven females, the youngest being 35 year's old and the oldest 87. The tumour was located at the upper third in 54 cases, at th...

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Main Authors: A Teixeira, A Gomes, J Ramalhão, A M Teixeira
Format: Article
Language:English
Published: Ordem dos Médicos 1992-02-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3201
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author A Teixeira
A Gomes
J Ramalhão
A M Teixeira
author_facet A Teixeira
A Gomes
J Ramalhão
A M Teixeira
author_sort A Teixeira
collection DOAJ
description The authors relate their experience with 100 cases of anterior resections operated using stapling techniques, 43 with double stapling. Fifty three were males and forty seven females, the youngest being 35 year's old and the oldest 87. The tumour was located at the upper third in 54 cases, at the middle third in 41 and at the lower third in five cases. One hundred anterior resections were executed, fifty of the low type. As to the Dukes classification, 15 were A type, 45 type B, 35 type C and 5 type D. There were no operative mortality until the 30th post operative day. As early post-operative complications there were one case of hemorrhage, two pneumopathies, one urinary retention, one cardio-respiratory insufficiency three cases of fistulae and 6 wound infections. In the last 65 cases only one wound infection and two pneumopathies were found. As late complications there were three anastomotic stenosis (all of them satisfactorily solved with dilatation) and six cases with small degree incontinence for gas and faeces recovering spontaneously. The recurrence rate was 14%; in three it has been possible to proceed with its excision by means of abdominoperineal amputation. They conclude stating that mechanical suturing specially is a good alternative to manual suturing in patients with low rectal tumours.
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spelling doaj.art-58c33f708a21408cb54119860ca2880b2022-12-22T04:29:59ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07581992-02-015210.20344/amp.3201A sutura mecânica na cirurgia do cancro do recto. Experiência de 100 casos.A Teixeira0A GomesJ RamalhãoA M TeixeiraServiço de Cirurgia II, Faculdade de Medicina do Porto, Hospital S. João.The authors relate their experience with 100 cases of anterior resections operated using stapling techniques, 43 with double stapling. Fifty three were males and forty seven females, the youngest being 35 year's old and the oldest 87. The tumour was located at the upper third in 54 cases, at the middle third in 41 and at the lower third in five cases. One hundred anterior resections were executed, fifty of the low type. As to the Dukes classification, 15 were A type, 45 type B, 35 type C and 5 type D. There were no operative mortality until the 30th post operative day. As early post-operative complications there were one case of hemorrhage, two pneumopathies, one urinary retention, one cardio-respiratory insufficiency three cases of fistulae and 6 wound infections. In the last 65 cases only one wound infection and two pneumopathies were found. As late complications there were three anastomotic stenosis (all of them satisfactorily solved with dilatation) and six cases with small degree incontinence for gas and faeces recovering spontaneously. The recurrence rate was 14%; in three it has been possible to proceed with its excision by means of abdominoperineal amputation. They conclude stating that mechanical suturing specially is a good alternative to manual suturing in patients with low rectal tumours.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3201
spellingShingle A Teixeira
A Gomes
J Ramalhão
A M Teixeira
A sutura mecânica na cirurgia do cancro do recto. Experiência de 100 casos.
Acta Médica Portuguesa
title A sutura mecânica na cirurgia do cancro do recto. Experiência de 100 casos.
title_full A sutura mecânica na cirurgia do cancro do recto. Experiência de 100 casos.
title_fullStr A sutura mecânica na cirurgia do cancro do recto. Experiência de 100 casos.
title_full_unstemmed A sutura mecânica na cirurgia do cancro do recto. Experiência de 100 casos.
title_short A sutura mecânica na cirurgia do cancro do recto. Experiência de 100 casos.
title_sort sutura mecanica na cirurgia do cancro do recto experiencia de 100 casos
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3201
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AT agomes asuturamecanicanacirurgiadocancrodorectoexperienciade100casos
AT jramalhao asuturamecanicanacirurgiadocancrodorectoexperienciade100casos
AT amteixeira asuturamecanicanacirurgiadocancrodorectoexperienciade100casos
AT ateixeira suturamecanicanacirurgiadocancrodorectoexperienciade100casos
AT agomes suturamecanicanacirurgiadocancrodorectoexperienciade100casos
AT jramalhao suturamecanicanacirurgiadocancrodorectoexperienciade100casos
AT amteixeira suturamecanicanacirurgiadocancrodorectoexperienciade100casos