Relationship between operative procedures and complication of colorectal carcinoma with acute colonic obstruction in the elderly patients
10.3760/cma.j.issn.1008-6706.2009.01.013
- VernacularTitle:老年结直肠癌合并急性肠梗阻手术方式与并发症的关系
- Author:
Xuejun HUANG
;
Chao CHEN
- Publication Type:Journal Article
- Keywords:
Colorectal neoplasms;
Acute intestinal obstruction;
Complication
- From:
Chinese Journal of Primary Medicine and Pharmacy
2009;16(1):26-27
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the relationship between operative procedures and complication of colorectal carcinoma with acute colonic obstruction in the elderly patients. Methods 65 elderly patients undergoing emergency operation for acute colonic obstruction were analyzed retrospectively. One stage tumor resection and anastomosis was performed in 25 cases with right-side colonic lesion and in 26 cases with left-side colonic lesion, Hartmann operation in 8 cases, Dixon operation in 4 cases and proximal colostomy in 2 cases. Results In 65 cases, 13 cases of postopera-tive complications,the rate was 20.0% (13/65) ,which infected with toxic shock two cases,four cases of pulmonary infection,anastomotic leakage two cases, wound infection, split 2 cases, death three cases, the mortality rate was 4.6%. The rates of postoperative complications in right-side colonic lesion, left-side colonic lesion, Hartmann opera-tion and Dixon operation were 69.2% ,0,30.7% and 0 respectively(P < 0.05 ～ 0.01). Conclusion Acute obstruc-tion of colon cancer,the right-side colonic lesion were safe,feasible and few complications in colorectal carcinoma with acute colonic obstruction.
