Application of cavity isolation method on left colorectal obstruction in the anastomosis isolation
10.3760/cma.j.issn.1008-6706.2011.15.007
- VernacularTitle:腔内隔离法在左半结直肠梗阻一期切除吻合术中的应用
- Author:
Ying LI
;
Junwei WU
;
Xi FANG
- Publication Type:Journal Article
- Keywords:
Intestinal obstruction;
Surgical operation;
The anastomosis isolation
- From:
Chinese Journal of Primary Medicine and Pharmacy
2011;18(15):2031-2032
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the value of cavity isolation method on left colorectal obstruction in the anastomosis isolation. Methods60 patients with left colorectal obstruction were randomly divided into two groups:ileostomy group and cavity isolation method group,30 patients for each. After left colon resection was completed, ileostomy anastomosis group used the traditional method for colorectal anastomosis, and protected the anastomosis by ileostomy. Cavity isolation method group protected the anastomosis by cavity isolation method. Then the indexes in the two groups,such as anastomotic height, operation time, anal exhaust time,incidence of anastomotic leakage and its complications,hospitalization time, medical cost and so on were analyzed. Results Longer postoperative hospital stay (9.3 + 4.2) d were observed in ileostomy group than those ( 15.6 + 3.3 ) d ( P ＜ 0.05 ). Earlier time of the first flatusand oral intake(87.2 ± 6.3 ) h, ( 91.2 ± 7.2 ) h were observed in ileostomy group than those ( 101.8 + 7.5 ) h,( 117.3 ± 8.6) h in cavity isolation method group ( all P ＜ 0.05 ). ConclusionThe anastomosis isolation was a safe and feasible new technology that could reduce the complications caused by anastomotic leakage, and it had the advantages of short hospital stay, low cost,less suffering ect.
