|Table of Contents|

Efficacy analysis of intestinal stent implantation combined with laparoscopic surgery for left colon cancer obstruction

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

Issue:
2022 03
Page:
487-491
Research Field:
Publishing date:

Info

Title:
Efficacy analysis of intestinal stent implantation combined with laparoscopic surgery for left colon cancer obstruction
Author(s):
TONG Cong1; ZONG Wei2; LI Jiayang1; WANG Guorong1; YAN Likun1; WANG Xiaoqiang1
1.The First Department of General Surgery;2.Department of Gastroenterology,Shaanxi Provincial People's Hospital，Shaan Xi'an 710068,China.
Keywords:
accelerated rehabilitation surgery; left colon cancer; intestinal obstruction; intesstinal stent; endoscopic surgery
PACS:
R735.3+5
DOI:
10.3969/j.issn.1672-4992.2022.03.022
Abstract:
Objective:To compare the short-term efficacy of sequential laparoscopic surgery after intestinal stent placement and emergency surgery in the treatment of left colon cancer obstruction,and to explore the efficacy and safety of intestinal stent placement combined with laparoscopic surgery in the treatment of left colon cancer obstruction.Methods:A retrospective analysis was performed on 56 cases of left hemicolon carcinoma with complete ileus treated in the first department of general surgeryi our hospital from January 2016 to October 2019.The patients were divided into a control group(emergency open surgery group) and a stent group(under the guidance of ERAS,intestinal stent implantation combined with laparoscopic surgery group) according to the treatment mode.The clinical data of the patients were collected and analyzed for the complications of stent implantation,first-stage anastomosis rate,enterostomy rate,surgical related indicators,hospital stay and so on.Results:There were no statistically significant differences in gender,age or tumor length between the two groups(P＞0.05).Stent group and control group in the operation time,blood loss,postoperative eating time,length of hospital stay,number of lymph nodes,colostomy rate,incision infection rate,a self-agreement differences statistically significant(P＜0.05),in which the control of the operation time,blood loss,postoperative time of food intake,rate of colostomy,incision infection rate higher than the stent group,stent group length of hospital stay,number of lymph nodes was higher than the control group.Conclusion:The clinical effect and safety of intestinal stent implantation combined with laparoscopic surgery under the guidance of ERAS can improve the primary anastomosis rate and reduce the stoma rate.

References:

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Memo

Memo:
陕西省卫生健康科研基金项目(编号：2018A003);陕西省科技厅创新能力支撑计划-科技创新团队(编号：2020TD-048)
Last Update: 2021-12-31