Modified double-barreled wet colostomy on the reconstruction of urinary and fecal diversion for patients with pelvic exenteration: experience from 8 cases and literature review
[Objectives] To explore the effectiveness of modified double-barreled wet colostomy on the reconstruction of urinary and fecal diversion for patients with pelvic exenteration. [Methods] This was a retrospective analysis of 8 patients with modified double-barreled wet colostomy on the reconstruction...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2023-02-01
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| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=28&cateName=2023%E5%B9%B4%20%E7%AC%AC29%E5%8D%B7%20%E7%AC%AC1%E6%9C%9F |
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| Summary: | [Objectives] To explore the effectiveness of modified double-barreled wet colostomy on the reconstruction of urinary and fecal diversion for patients with pelvic exenteration. [Methods] This was a retrospective analysis of 8 patients with modified double-barreled wet colostomy on the reconstruction of urinary and fecal diversion, who were hospitalized and underwent pelvic exenteration from July 2021 to September 2022. Of the 8 patients, 6 were male and 2 were female with a median age of 55.5 (52.3, 56.8) years, including 3 patients with recurrent rectal cancer, 2 patients with cancer of the peri-anal fistula, 1 patient with locally advanced rectal cancer, 1 patient with presacral cancer and 1 patient with locally advanced prostate cancer. All patients were eligible for pelvic exenteration, and 2 cases were also eligible for urethrectomy. Postoperative recovery and clinical outcomes were recorded during follow-up. [Results] All patients were discharged uneventfully. The ureter stents were removed within 7 to 10 days postoperatively and the median postoperative hospitalization was 13.0 (12.3, 15.5) days. No serve surgical complication was reported. With a median follow-up of 9.0 (5.5, 12.8) months, renal function imaging showed good effects and no urinary tract-related infection requiring intravenous antibiotics. One case with recurrent rectal cancer had stoma contraction and died of abdominal aortic aneurysm rupture, and 1 case with cancer of the peri-anal fistula had local recurrence. No stoma-related complication or recurrence occurred in the other cases. [Conclusion] On the premise of careful screening of patients, modified double-barreled wet colostomy could be a reasonable procedure for the selected cases on the reconstruction of urinary and fecal diversion for patients with pelvic exenteration. |
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| ISSN: | 1674-0491 |