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Mortality and Quality of Life After Total Abdominal Colectomy
R. Matthew Walsh, MD;
Gerard V. Aranha, MD, FRCSC;
Robert J. Freeark, MD
Arch Surg. 1990;125(12):1564-1566.
Abstract
• We have reviewed the results of 107 consecutive total abdominal colectomies performed at our institutions during the past 10 years. Indications for surgery were carcinoma of the colon (60), multiple polyps (nine), diverticular disease (31), and other conditions (seven). Seven (6.5%) were emergency operations. All patients had anastomosis of the terminal ileum into the lower rectum or distal sigmoid colon no more than 25 cm above the anus. Thirty days after surgery, two patients (1.8%) had died of complications of anastomotic leaks. Both were poor candidates for primary reanastomosis. Morbidity was low, occurring in 11 patients (10.3%). Follow-up evaluation of bowel function revealed satisfactory results in 102 patients (95%). Five patients (5%) had experienced chronic debilitating diarrhea. Unfavorable results were more common with diverticular disease than with neoplasia.
(Arch Surg. 1990;125:1564-1566)
Author Affiliations
From the Surgical Service, Veterans Administration Hospital, Hines, Ill (Dr Aranha), and the Department of Surgery, Stritch School of Medicine, Loyola University Medical Center, Maywood, Ill (Drs Walsh, Aranha, and Freeark).
Footnotes
Accepted for publication July 21, 1990.
Read before the 14th Annual Surgical Symposium of the Association of Veterans Affairs Surgeons, Charleston, SC, May 7, 1990.
Reprint requests to Loyola University Medical Center, 2160 S First Ave, Maywood, IL 60153 (Dr Aranha).
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