The diagnosis and surgical treatment of colorectal cancer with intestinal obstruction
MIAO Zhanjun
HAN Zongming
ZHU Hongbo
ZHANG Xuezhen
Abstract：Objective To investigate the diagnosis and surgical treatment of colorectal cancer with intesti-nal obstruction. Methods The clinical data of 76 cases of colorectal cancer with intestinal obstruction were ret-rospectively analyzed from Dec. 2008 to Dec. 2013,including analysis of diagnostic methods,the operation meth-od and prognosis. Results Accuracy of abdominal CT examination on diagnosing colorectal cancer with obstruc-tion is higher than that of X-ray. All patients received operation, 23 patients who suffered from right colon carci-noma were received primary resection and anastomosis;among 18 cases who suffered from left half colon carcino-ma, 6 cases received preventive terminal ileostomy, the rest cases received primary resection and anastomosis;among 35 cases suffered from rectal cancer,23 cases received primary resection and anastomosis,9 cases re-ceived preventive transverse colostomy, 3 cases received permanent sigmoid colostory. Postoperative anastomotic fistula occurred among 6 cases, 2 cases died. Conclusions Abdominal CT scan has high clinical application value owing to its location intestinal obstruction and its nalure. The right colon resection one stage anastomosis is safe and feasible;one-stage resection and primary anastomos is safe in the left half colon and rectal carcinoma under certain conditions;preventive colostomy can reduce the occurrence of anastomotic fistula.
Keywords：colorectal cancerintestinal obstructiondiagnosissurgical treatmentanastomotic fistula
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 107-109 )