Clinical application of one-stage resection and anastomosis in the treatment of left colon cancer with intestinal ;obstruction
Abstract:Objective To explore the feasibility and safety of one-stage resection and anastomosis in the treatment of left colon cancer with intestinal obstruction.Methods The clinical data of 43 patients with resection and anastomosis of left colon cancer and intestinal obstruction in our hospital from January 2000 to December 2014 were retrospectively analyzed.Results All the patients were treated with one-stage resection and anastomosis, and intrao-perative colonic lavage.Nine cases were performed routine preventive ileum colostomy.One case had postoperative anastomotic fistula but was cured after the treatment of unobstructed drainage and parenteral nutrition.Three cases had incision infection but were cured after wound dressing changes.Two cases had intestinal obstruction but were cured after the conservative treatment.No abdominal abscess,and no operative deaths occurred.Conclusion It is safe and feasible to perform intraoperative colonic lavage and routine preventive ileum colostomy during the operation of one-stage resection and anastomosis for left colon cancer patients with intestinal obstruction.
Keywords:Left colon cancerIntestinal obstructionOne-stage resection and anastomosis
Publication Date:2016-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:3( 305-307 )
