Effect of modified intestinal obstruction catheter combined with laparoscopic radical resection on acute left-sided colorectal malignant obstruction
ZHANG Wei
TANG Wenhui
ZHAO Lei
Abstract：Objective To explore the application value of modified intestinal obstruction catheter combined with laparoscopic radical resection on acute left-sided colorectal malignant obstruction.Methods In this retrospective analysis,total 88 patients with acute left-sided colorectal malignant obstruction visited Daxing Teaching Hospital,Capital Medical University from June 2021 to February 2023 were included,and they were randomized to laparoscopic radical resection(control group,n=44)or modified intestinal obstruction catheter combined with laparoscopic radical resection(observation group,n=44).The patient's data were kept intact,and the results of the study were reviewed and recorded.The key observation was intraoperative conditions,postoperative recovery,preoperative and postoperative immune function indexes including T lymphocyte subsets(CD3,CD4,CD4/CD8)and gastrointestinal hormones including gastrin(GAS),motilin(MOT),primary anastomosis rate and postoperative complications.Results Compared with the control group,the observation group had significantly shorter incision length and less intraoperative blood loss(P＜0.05).The number of lymph node dissection and operation time were similar between the two groups(P＞0.05).The first exhaust time,defecation time and postoperative hospital stay in the observation group were significantly shorter than those in the control group(P＜0.05).Compared with the control group,the observation group had significantly higher rate of primary anastomosis,and lower incidence of postoperative intra-abdominal infection and anastomotic leakage(P＜0.05).Conclusion The combination of modified intestinal obstruction catheter placement and laparoscopic surgery for the treatment of acute left-sided colorectal malignant obstruction has the advantage of minimal trauma,minimal impact on the patient's immune and gastrointestinal functions,promoting postoperative recovery,and reducing the incidence of intra-abdominal infection and anastomotic fistula.
Keywords：left colorectal cancermalignant intestinal obstructionmodified intestinal obstruction catheterlaparoscopycomplications
Publication Date：2024-10-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 3120-3123 )