Abstract
Purpose: The aim of this study was to clarify the conditions of safe primary anastomosis during emergency surgery for colorectal perforation. Patients and Methods: The subjects were 53 patients who underwent surgery for colorectal perforation between April 2005 and December 2012 in our hospital. We analyzed prognostic factors and factors of selection for surgical procedures. Results: A multivariate analysis revealed that the poor prognostic factor, was an Apache II score (AS)≧20 (p=0.013), and also showed that the factor of selection for primary anastomosis was systemic inflammatory response syndrome (SIRS) (p=0.030). Among the patients who underwent surgical procedures with a stoma, only two patients underwent stoma closure. Conclusion: Our data indicated that primary anastomosis (±diverting ileostomy) can be performed safely on patients with AS<20 and no SIRS.
