The colon shuffle : A modified urinary diversion
(2015) In European Journal of Surgical Oncology 41(9). p.8-1264- Abstract
AIM: To assess the results of a urinary diversion in patients who already have a colostomy or simultaneously require a (rectum) colon resection. The diversion is created from the distal part of the transected colon with a simultaneously created new colostomy contra-laterally (if necessary). This procedure is known in our institute as the 'colon shuffle'.
MATERIALS AND METHODS: All patients who underwent a colon shuffle in the period of 2003 and 2013 in our institute (Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital) were identified. Comorbidity was scored using the Charlson comorbidity index. Local or systemic treatment prior to surgery was reported (e.g. external beam radiotherapy, systemic chemotherapy). Surgical... (More)
AIM: To assess the results of a urinary diversion in patients who already have a colostomy or simultaneously require a (rectum) colon resection. The diversion is created from the distal part of the transected colon with a simultaneously created new colostomy contra-laterally (if necessary). This procedure is known in our institute as the 'colon shuffle'.
MATERIALS AND METHODS: All patients who underwent a colon shuffle in the period of 2003 and 2013 in our institute (Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital) were identified. Comorbidity was scored using the Charlson comorbidity index. Local or systemic treatment prior to surgery was reported (e.g. external beam radiotherapy, systemic chemotherapy). Surgical complications were reported according to the Clavien-Dindo classification.
RESULTS: Twenty-one patients (14 male; 7 female) underwent a colon shuffle procedure in our institute, with a mean age of 61.5 years. The majority (90.4%) of these patients had been subjected to radiotherapy on the pelvic region in the past. Although short-term complications (<30 days) were seen in 52.4% of these patients, major complications such as anastomotic leakage of the bowel and fecal peritonitis were not seen in this high-risk group of patients.
CONCLUSION: The colon shuffle offers an elegant solution for patients who require a urinary diversion simultaneously with a colostomy or for patients who already have a colostomy from previous surgery.
(Less)
- author
- Meijer, R P ; Mertens, L S ; Meinhardt, W ; Verwaal, V J LU ; Dik, P and Horenblas, S
- publishing date
- 2015-09
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Adult, Aged, Cohort Studies, Colon/transplantation, Colonic Diseases/surgery, Colostomy/methods, Cystectomy/methods, Female, Humans, Male, Middle Aged, Netherlands, Pelvic Exenteration/methods, Rectal Diseases/surgery, Retrospective Studies, Urinary Diversion/methods, Urologic Diseases/surgery
- in
- European Journal of Surgical Oncology
- volume
- 41
- issue
- 9
- pages
- 8 - 1264
- publisher
- Elsevier
- external identifiers
-
- scopus:84938741264
- pmid:25823408
- ISSN
- 1532-2157
- DOI
- 10.1016/j.ejso.2015.02.007
- language
- English
- LU publication?
- no
- additional info
- Copyright © 2015 Elsevier Ltd. All rights reserved.
- id
- b49d7773-5fee-44f4-b154-d5156c20a179
- date added to LUP
- 2022-04-05 09:40:00
- date last changed
- 2024-04-24 07:13:12
@article{b49d7773-5fee-44f4-b154-d5156c20a179,
abstract = {{<p>AIM: To assess the results of a urinary diversion in patients who already have a colostomy or simultaneously require a (rectum) colon resection. The diversion is created from the distal part of the transected colon with a simultaneously created new colostomy contra-laterally (if necessary). This procedure is known in our institute as the 'colon shuffle'.</p><p>MATERIALS AND METHODS: All patients who underwent a colon shuffle in the period of 2003 and 2013 in our institute (Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital) were identified. Comorbidity was scored using the Charlson comorbidity index. Local or systemic treatment prior to surgery was reported (e.g. external beam radiotherapy, systemic chemotherapy). Surgical complications were reported according to the Clavien-Dindo classification.</p><p>RESULTS: Twenty-one patients (14 male; 7 female) underwent a colon shuffle procedure in our institute, with a mean age of 61.5 years. The majority (90.4%) of these patients had been subjected to radiotherapy on the pelvic region in the past. Although short-term complications (<30 days) were seen in 52.4% of these patients, major complications such as anastomotic leakage of the bowel and fecal peritonitis were not seen in this high-risk group of patients.</p><p>CONCLUSION: The colon shuffle offers an elegant solution for patients who require a urinary diversion simultaneously with a colostomy or for patients who already have a colostomy from previous surgery.</p>}},
author = {{Meijer, R P and Mertens, L S and Meinhardt, W and Verwaal, V J and Dik, P and Horenblas, S}},
issn = {{1532-2157}},
keywords = {{Adult; Aged; Cohort Studies; Colon/transplantation; Colonic Diseases/surgery; Colostomy/methods; Cystectomy/methods; Female; Humans; Male; Middle Aged; Netherlands; Pelvic Exenteration/methods; Rectal Diseases/surgery; Retrospective Studies; Urinary Diversion/methods; Urologic Diseases/surgery}},
language = {{eng}},
number = {{9}},
pages = {{8--1264}},
publisher = {{Elsevier}},
series = {{European Journal of Surgical Oncology}},
title = {{The colon shuffle : A modified urinary diversion}},
url = {{http://dx.doi.org/10.1016/j.ejso.2015.02.007}},
doi = {{10.1016/j.ejso.2015.02.007}},
volume = {{41}},
year = {{2015}},
}