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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| Format: | Article |
| Language: | zho |
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Editorial Office of Journal of Colorectal & Anal Surgery
2023-02-01
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| Series: | 结直肠肛门外科 |
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| 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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| author | Lu Li Xian Zhenyu Wang Miaolan Wang Lan Zou Qi Hu Bang Xie Shangkui Ren Donglin |
| author_facet | Lu Li Xian Zhenyu Wang Miaolan Wang Lan Zou Qi Hu Bang Xie Shangkui Ren Donglin |
| author_sort | Lu Li |
| collection | DOAJ |
| description | [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. |
| format | Article |
| id | doaj-art-15fbd72b89ce47ab9d29ff0b92fd142e |
| institution | DOAJ |
| issn | 1674-0491 |
| language | zho |
| publishDate | 2023-02-01 |
| publisher | Editorial Office of Journal of Colorectal & Anal Surgery |
| record_format | Article |
| series | 结直肠肛门外科 |
| spelling | doaj-art-15fbd72b89ce47ab9d29ff0b92fd142e2025-08-20T03:10:03ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912023-02-01291333710.19668/j.cnki.issn1674-0491.2023.01.007Modified double-barreled wet colostomy on the reconstruction of urinary and fecal diversion for patients with pelvic exenteration: experience from 8 cases and literature reviewLu Li0Xian Zhenyu1Wang Miaolan2Wang Lan3Zou Qi4Hu Bang5Xie Shangkui6Ren Donglin7Department of Coloproctology, The Sixth Affiliated Hospital, Sun Yat-sen University-The National Key Clinical Speciality Vocational School, Guangzhou 510655, Guangdong, ChinaDepartment of Coloproctology, The Sixth Affiliated Hospital, Sun Yat-sen University-The National Key Clinical Speciality Vocational School, Guangzhou 510655, Guangdong, ChinaDepartment of Coloproctology, The Sixth Affiliated Hospital, Sun Yat-sen University-The National Key Clinical Speciality Vocational School, Guangzhou 510655, Guangdong, ChinaDepartment of Coloproctology, The Sixth Affiliated Hospital, Sun Yat-sen University-The National Key Clinical Speciality Vocational School, Guangzhou 510655, Guangdong, ChinaDepartment of Coloproctology, The Sixth Affiliated Hospital, Sun Yat-sen University-The National Key Clinical Speciality Vocational School, Guangzhou 510655, Guangdong, ChinaDepartment of Coloproctology, The Sixth Affiliated Hospital, Sun Yat-sen University-The National Key Clinical Speciality Vocational School, Guangzhou 510655, Guangdong, ChinaDepartment of Coloproctology, The Sixth Affiliated Hospital, Sun Yat-sen University-The National Key Clinical Speciality Vocational School, Guangzhou 510655, Guangdong, ChinaDepartment of Coloproctology, The Sixth Affiliated Hospital, Sun Yat-sen University-The National Key Clinical Speciality Vocational School, Guangzhou 510655, Guangdong, China[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.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%9Fpelvic locally advanced cancerpelvic recurrent cancerdouble-barreled wet colostomyreconstruction of urinary and fecal diversionpelvic exenteration |
| spellingShingle | Lu Li Xian Zhenyu Wang Miaolan Wang Lan Zou Qi Hu Bang Xie Shangkui Ren Donglin 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 结直肠肛门外科 pelvic locally advanced cancer pelvic recurrent cancer double-barreled wet colostomy reconstruction of urinary and fecal diversion pelvic exenteration |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | pelvic locally advanced cancer pelvic recurrent cancer double-barreled wet colostomy reconstruction of urinary and fecal diversion pelvic exenteration |
| url | 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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