KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT THỦNG TÚI THỪA ĐẠI TRÀNG TRÁI TẠI BỆNH VIỆN CHỢ RẪY

Abstract

Background: Left-sided colonic diverticular perforation is a rare condition; however, it often causes severe infection with a high mortality rate if not diagnosed and treated promptly [1]. Currently, depending on the degree and site of perforation, various treatment methods can be applied, but in cases with generalized peritonitis, surgery remains the mainstay of treatment [1], [2]. Patients and Methods: A retrospective study was conducted on 460 cases of left-sided colonic diverticular perforation treated surgically at Chợ Rẫy Hospital from January 2020 to January 2025. Results: The male-to-female ratio was 2.1:1. The mean age was 56.3 ± 6.2 years. The proportion of patients with comorbidities was 51.7%. The mean interval from symptom onset to hospital admission was 2.1 ± 1.3 days. Septic shock on admission occurred in 20% of cases. The postoperative complication rate was 11.3%, with a postoperative mortality rate of 3%. Conclusion: Colonic diverticular perforation is a serious complication, especially in patients presenting late. Surgical creation of a colostomy at the site of perforation is a simple, feasible, time-efficient, safe method suitable for many healthcare settings.