医学
肠梗阻
结直肠癌
减压
外科
造口(药)
支架
腹腔镜手术
急诊外科
癌症
腹腔镜检查
内科学
作者
Tetsuro Isozaki,Kazuhiro Tasaki,Masayuki Kimura,Toru Fukunaga,Yuji Sugamoto,Mari Kuboshima,Yo Asai,Tetsutaro Sazuka,Y. Watanabe,Ryuma Urahama,Tomoko Kamata,Hisahiro Matsubara
出处
期刊:PubMed
日期:2017-11-01
卷期号:44 (12): 1203-1204
摘要
Emergency surgery for obstructive colorectal cancer is considered to be associated with a high degree of risk, and surgery may after decompression is considered to be safer. In cases of obstructive colorectal cancer, decompression can be achieved with surgery, an ileus tube, or a stent, depending on the disease condition. We herein compare the treatment methods for obstructive colorectal cancer.Forty-two patients with obstructive colorectal cancer underwent emergency treatment between January 2012 and December 2016.Among the patients with obstructive colorectal cancer, 18 receiveda stent, 10 receiveda nasal ileus tube, 6 receiveda transanal ileus tube, 5 underwent stoma construction, and 3 underwent emergency surgery without decompression. The stent group showed the highest laparoscopic operation rate. There was no significant difference in the overall survival of the treatment groups. One patient in the stent group developed duplicated cancer.Stent placement can be considered to be a viable option in the emergency treatment for obstructive colorectal cancer because laparoscopic surgery anda preoperative examination can be performed.
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