Extraperitoneal sigmoidopexy versus sigmoidectomy for sigmoid volvulus: A prospective comparative study

IF 0.3 4区医学 Q4 SURGERY

Surgical Practice Pub Date : 2024-06-10 DOI:10.1111/1744-1633.12702

Mostafa Ibrahim, Mohamad Raafat

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引用次数: 0

Abstract

Aim

Extraperitoneal sigmoidopexy is a simple, safe and effective non-resective procedure with minimal morbidity and mortality rates.

Patients and Methods

This prospective comparative study involved 105 patients with uncomplicated sigmoid volvulus at Asyut University Hospitals, Egypt, from June 2021 to January 2023. The study population was divided into two groups: Group A, which underwent extraperitoneal sigmoidopexy, and Group B, which was treated with sigmoidectomy and primary anastomosis.

Results

The study included 105 cases. A total of 56 (53.4%) patients underwent extraperitoneal sigmoidopexy (Group A) and 49 (46.6%) patients underwent sigmoidectomy (Group B). The mean age was 61.33 (standard deviation [SD] 1.65) for Group A and 67.9 (SD 1.69) for Group B (P = .36). The mean operative time (minutes) was 62.25 (SD 1.38) for Group A and 87.60 (SD 2.38) for Group B (P < .0001). The mean hospital stay (days) was 6.25 (SD 0.29) for Group A and 9.04 (SD 0.34) for Group B (P < .0001). There was a significant difference in overall morbidity and recurrence rate, while no significant difference was observed in intensive care unit admission, additional surgery and mortality between the two groups.

Conclusion

Extraperitoneal sigmoidopexy emerges as a simple, safe and effective treatment option for non-complicated sigmoid volvulus. Despite a higher recurrence rate, it demonstrates lower morbidity and mortality compared with sigmoidectomy.

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腹膜外乙状结肠成形术与乙状结肠切除术治疗乙状结肠肿物：前瞻性对比研究

这项前瞻性比较研究涉及埃及阿尤特大学医院（Asyut University Hospitals, Egypt）的 105 名无并发症乙状结肠肿患者，研究时间为 2021 年 6 月至 2023 年 1 月。研究对象分为两组：A 组接受腹膜外乙状结肠吻合术，B 组接受乙状结肠切除术和原位吻合术。共有 56 例（53.4%）患者接受了腹膜外乙状结肠成形术（A 组），49 例（46.6%）患者接受了乙状结肠切除术（B 组）。A 组患者的平均年龄为 61.33 岁（标准差 [SD] 1.65），B 组患者的平均年龄为 67.9 岁（标准差 1.69）（P = .36）。A 组的平均手术时间（分钟）为 62.25（标准差 1.38），B 组为 87.60（标准差 2.38）（P < .0001）。A 组的平均住院时间（天）为 6.25（标清 0.29），B 组为 9.04（标清 0.34）（P < .0001）。两组在总发病率和复发率方面有明显差异，而在重症监护室入院、额外手术和死亡率方面则无明显差异。尽管复发率较高，但与乙状结肠切除术相比，其发病率和死亡率均较低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Practice 医学-外科

CiteScore

0.90

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Surgical Practice is a peer-reviewed quarterly journal, which is dedicated to the art and science of advances in clinical practice and research in surgery. Surgical Practice publishes papers in all fields of surgery and surgery-related disciplines. It consists of sections of history, leading articles, reviews, original papers, discussion papers, education, case reports, short notes on surgical techniques and letters to the Editor.