Computerized tomographic scan-guided XXXX . Preoperative and postoperative modalities in colon and rectal surgery.

@entity1 @entity6177 @entity344 @entity4436 @entity1320
PURPOSE: Computerized tomographic (CT) scan-guided percutaneous @entity6177 has changed the colon and rectal surgeon's approach to preoperative and @entity1320 . This study is an effort to prove the efficacy of CT scan-guided percutaneous drainage. METHODS: A retrospective study was performed on 133 @entity1 who underwent CT scan @entity6177 over a 6.3-year period. RESULTS: 67 @entity1 had underlying lower @entity344 . Twenty-three of these @entity1 (34 percent) had spontaneous abscesses and underwent drainage as a preoperative or final modality, whereas 44 @entity1 (66 percent) were drained postoperatively. In 78 percent of @entity1 , surgery was successfully avoided or delayed. Ten @entity1 had acute @entity4436 associated with a large pelvic abscess. Eight @entity1 underwent successful CT scan-guided percutaneous drainage, yielding an 80 percent success rate. Morbidity from the CT scan-guided percutaneous drainage procedure in spontaneous and postoperative groups was 0 percent and 9 percent, respectively. Mortality was 9 percent and 11 percent, respectively, and associated with an elevated Acute Physiology and Chronic Health Evaluation II (APACHE II) score. CONCLUSION: CT scan-guided percutaneous @entity6177 is an important adjunct to colon and rectal surgery because roughly 80 percent of spontaneous and postoperative abscesses were successfully managed.
