잠시만 기다려 주세요. 로딩중입니다.

Postoperative Outcomes of Stoma Takedown: Results of Long-term Follow-up

Annals of Coloproctology 2018년 34권 5호 p.266 ~ 270
Paik Bomina, 김창우, 박선진, 이길연, 이석환,
소속 상세정보
 ( Paik Bomina ) - Kyung Hee University School of Medicine Kyung Hee University Hospital at Gangdong Department of Surgery
김창우 ( Kim Chang-Woo ) - Kyung Hee University School of Medicine Kyung Hee University Hospital at Gangdong Department of Surgery
박선진 ( Park Sun-Jin ) - Kyung Hee University School of Medicine Kyung Hee Medical Center Department of Surgery
이길연 ( Lee Kil-Yeon ) - Kyung Hee University School of Medicine Kyung Hee Medical Center Department of Surgery
이석환 ( Lee Suk-Hwan ) - Kyung Hee University School of Medicine Kyung Hee University Hospital at Gangdong Department of Surgery

Abstract


Purpose: Stoma takedown is a frequently performed procedure with considerable postoperative morbidities. Various skin closure techniques have been introduced to reduce surgical site infections. The aim of this study was to assess postoperative outcomes after stoma takedown during a long-term follow-up period.

Methods: Between October 2006 and December 2015, 84 consecutive patients underwent a colostomy or ileostomy takedown at our institution. Baseline characteristics and perioperative outcomes were analyzed through retrospective reviews of medical records.

Results: The proportion of male patients was 60.7%, and the mean age of the patients was 59.0 years. The overall complication rate was 28.6%, with the most common complication being prolonged ileus, followed by incisional hernia, anastomotic leakage, surgical site infection, anastomotic stenosis, and entero-cutaneous fistula. The mean follow-up period was 64.3 months. The univariate analysis revealed no risk factors related to overall complications or prolonged ileus.

Conclusion: The postoperative clinical course and long-term outcomes following stoma takedown were acceptable. Stoma takedown is a procedure that can be performed safely.

키워드

Postoperative complications; Ileostomy; Colostomy; Surgical wound infection

원문 및 링크아웃 정보

등재저널 정보

KCI
KoreaMed
KAMS