부산대학교 도서관

We investigated the difference in the short-term and long-term outcomes between surgical procedures in 27 patients with peritonitis due to perforetier of the left side colon. We divided these 27 patients into two groups according to the initial operation : the primary anastomosis group (Group A, n=9) and the artificial anus group (Group B, n=18). No significant differences in the clinicopathological characteristics were detected between the groups except for the median time from the onset of the disease to the operation ; it was longer in the Group A (P=0.049). Although there was no statistical difference in the short-term outcomes between the two groups, a poor short-term outcome in the Group B was noted compared to the Group A (morbidity in the Group A vs. B : 66.7% vs. 83.3%, P=0.295 ; mortality : 11.1% vs. 22.2%, P=0.636). Three-year survival rates in the Group A and B were 53.3% and 41.9%, respectively. A multivariate analysis revealed that the primary disease (P=0.049), the presence of systemic inflammatory response syndrome (P=0.021) and number of organ failures (P=0.007) were all significantly associated with the long-term postoperative outcome.We consider that appropriate selection of surgical procedures and postoperative intensive care may provide a relatively good long-term outcome in patients with peritonitis due to perforation of the left side colon.