The prevention and treatment of early stage postoperative inflammatory intestinal obstruction after laparoscopic and open radical resection of colorectal carcinoma
- VernacularTitle:腹腔镜与开腹结直肠癌根治术术后早期炎症性肠梗阻的防治
- Author:
Zongbin XU
;
Pan CHI
- Publication Type:Journal Article
- Keywords:
Postoperative complications;
Colorectal neoplasms;
Laparoscopes;
Intestinal obstruction
- From:
Chinese Journal of General Surgery
2008;23(8):596-599
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the incidence, cause,prevention and treatment of early postoperative inflammatory intestinal obstruction(EPIIO)in patients undergoing laparoscopic and open radical resection of colorectal cancer. Methods From September 2000 to September 2006,483 cases of colorectal cancer were divided into two groups according the procedures received: laparoscopic surgery(232 cases)and open surgery(251 cases).The incidence of early postoperative intestinal obstruction was compared between the two groups. Results 1.In laparoscopic group,14 cases(5.69%,14/246)were converted to open surgery;2.The incidences of EPIIO in LS and OS group were respectively 3.02%(7/232)and 7.97%(20/251)(P＜0.05,x2=5.60＝.In LS group,6 EPIIO caseswere cured conservatively, one underwent surgery, while in open surgery group,18 cases recovered conservatively, two received surgery. Conclusions 1.Significantly less cases suffered from EPIIO in laparoscopic group.2.Most EPIIO cases will recover conservatively, in cases with repeated symptoms or when strangulation of bowel is suspected open surgery should be attempted.
