|Table of Contents|

Clinical observation of laparoscopy combined with intestinal obstruction catheter in treating elderly patients with obstructive colorectal cancer

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2019 06
Page:
998-1001
Research Field:
Publishing date:

Info

Title:
Clinical observation of laparoscopy combined with intestinal obstruction catheter in treating elderly patients with obstructive colorectal cancer
Author(s):
Zhou Xiaogang; Wang Lin; Qin Xianpeng; Wang Kai
Department of Gastroenterological Surgery,Sichuan Provincial People's Hospital，Sichuan Chengdu 610000,China.
Keywords:
laparoscope; intestinal obstruction catheter; the elderly; obstructive colorectal cancer; effect; safety
PACS:
R735.3
DOI:
10.3969/j.issn.1672-4992.2019.06.023
Abstract:
Objective:To observe the efficacy and safety of laparoscopy combined with intestinal obstruction catheter in treatment of elderly obstructive colorectal cancer.Methods:From January 2017 to March 2018,117 cases of elderly patients with obstructive colorectal cancer,according to whether the application of ileus tube were divided into two groups,including 56 patients underwent resection of the urgent issue of colorectal tumor patients as control group,61 regular anal intestinal obstruction catheter surgery patients with catheter success as the observation group.After 7 to 10 d washing drainage,laparoscopic colorectal cancer resection was operated.Two groups of operation method,TNM stage,tumor site,tumor size,the number of lymph node dissection,postoperative exhaust time,postoperative hospital stay,the total length of hospital stay and postoperative complications were compared.Results:There was no significant difference in the maximum diameter and postoperative hospital stay between the two groups (P＞0.05).The number of lymph node dissection in the observation group was 14.9±2.6,more than that in the control group (10.4±2.1),and the postoperative exhaust time and total hospital stay were longer than that in the control group,and the difference was statistically significant (P＜0.05).There were no deaths in both groups.In observation group,incision infection,abdominal cavity infection,bacteremia,low sodium,potassium and proteinemia,anastomotic fistula and incidence of lower limb edema were 4.92%,1.64%,1.64%,49.18%,1.64% and 4.92%,significantly lower than the control group (21.43%,12.50%,14.29%,75.00%,12.50% and 23.21%) and the difference was statistically significant (P＜0.05).Conclusion:Laparoscopy combined with intestinal obstruction catheter in the treatment of elderly patients with obstructive colorectal cancer has good efficacy,small trauma and good safety,and is recommended as the preferred surgical option for elderly patients with indications.

References:

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四川省卫计委科研课题(编号：17PJ401)
Last Update: 1900-01-01