Effect of drainage with double tubes througth anus on emergent left colon resection with primary anastomo for obstructingcarcinoma ofthe leftcolon
Abstract：Objective To investigate the new methods of preventing anastomotic leakage after emergent left colon resection withprimary anastomosis for obctructing carcinoma of the left colon. Methods 215 patients with obshructing carcinoma of the left colon wereallocated to two groups, each underwent emergent left colon resection with primary anastomosis and on- table colonic irrigation. In thedrain age group, two tubes were placed proximal and distal to the anastomosis in the colonic cavity. Patients of the control group only re-ceived anal dilation regularly without the two tubes drainage. The postoperative complications of two grpups were compared. ResultsThere were 9 ( 10.6 % ) intra - abdominal abscess and 11 ( 12.9 % ) anastomotic leaks in the control group. In the drain group, 4(3.1% )intra- abdominal abscess and 5(3.8% ) anastomotic leaks occurred. The incidence of intra- abdominal abscess and anastomotic leak inthe control group were significantly higher than that in the drain group( P < 0.05). Conclusion Drainage by two tubes in the coloniccavioty can effectively prevent anastomotic leak after emergent resection of left colon with primary anastomosis for obstructing carcinoma ofthe left colon.
Keywords：Left colonic neoplasm Obstruction Primary anastomosis Postoperative complications Drainage
Publication Date：2000-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 720-721 )