多發性 Polyposis 에 對한 全結腸切除術 및 廻腸肛門吻合術
Total Colectomy with Elcoanostomy for Multiple Polyposis of the Colon and Rectum
박재저, 金學潤, 宋南律,
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박재저 ( )
全南大學校 醫科大學 外科學敎室
金學潤 ( )
全南大學校 醫科大學 外科學敎室
宋南律 ( )
全南大學校 醫科大學 外科學敎室
KMID : 0371319720140090007
Abstract
This report is a clinical review of experience with 2 cases of multiple polyposis of the entire colon
and rectum.
It was treated with total colectomy without preservation of rectal segment and ileostomy. The entire
colon, rectum and anus was resected, and the ileum was anastomosed to the anal verge. Preoperative
preparation was performed with neomycin and mechanical cleansing. Postoperative course was uneventful
in one patient.
But in the other, residual abscess was developed in the pelvis on the 10th postoperative day.
The abscess was controlled with drainage operation under the local anesthesia and antibiotics.
The frequency of postoperative diarrhea was gradually decreased day by day.
Four weeks after operation all patients were passed 5 or 8 times of wartery stool daily.
The one cases was healthy for one year period, but the other could not have follow up study because
his adress was changed.
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