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| Effect of Surgical Timing and Surgical Selection on the Clinical Outcome in Patients with Colon Cancer Complicated with Actual Intestinal Obstruction |
| CHEN Neng-liang |
| People's Hospital Of Jiang'an County,Yibin,Sichuan 644200,China |
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Abstract 【Objective】To investigate the effects of surgical timing and surgical selection on clinical outcome in patients with colon cancer complicated with actual intestinal obstruction.【Methods】Sixty cases of colon cancer patients complicated by actual intestinal obstruction were collected from January to November, 2016 in our hospital for the study. All patients underwent stage I resection and anastomosis and the procedure of surgery were recorded. Among 60 cases, 20 patients received the surgery immediately after proper completion of preoperative preparation (group A), 20 received the same surgery after 8~12 hours of conservative treatment (group B), and 20 had surgery after 2~3 days of conservative treatment (group C). As to the intraoperative treatment of the bowel, 25 cases adopted traditional Dudley lavage and 35 cases were applied with modified Dudley lavage. The number of case of anastomotic fistula, abdominal infection, and death under different circumstance of bowel treatment and position of actual intestinal obstruction were analyzed and compared among the three groups. 【Results】Surgery with stage I resection and anastomosis showed good curative effect in all patients without low anastomotic fistula and abdominal infection. Patients in group A had a better clinical outcome; patients in group C were cured and discharged. There was one case of death after surgery in group B. The time of operation, hospitalization, and discharge did not show significant difference among the three groups (P＞0.05). In the traditional Dudley lavage, 3 cases (3/25,12%) had anastomotic fistula, 3 cases had abdominal infection, and 1 died. However, there were no complication and death seen in the modified Dudley lavage with colon decompression. Statistically, the difference was significant in between the two methods (P＜0.05). One died in 30 cases of left colon cancer complicated with actual intestinal obstruction and no death was in 30 cases of right colon cancer complicated with actual intestinal obstruction; the difference was not statistically significant (P＞0.05). 【Conclusion】A certain difference exists between different times of treatment and applications of different methods in colon cancer complicated with actual intestinal obstruction. Careful selection of the surgery timing is of important.
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Received: 07 January 2017
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(本文编辑:张兴珍) [收稿日期] 2017-01-07
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2017, Vol. 34 
