Surgical concept and techniques of recurrent cervical cancer patients accompanied with high risk of intestinal obstruction after radical radiotherapy
10.3760/cma.j.issn.0253-3766.2020.01.009
- VernacularTitle: 宫颈癌根治性放疗后复发并肠梗阻高危体质患者的手术理念及技巧
- Author:
Yang LIU
1
;
Gangcheng WANG
2
;
Yingjun LIU
2
;
Youcai WANG
2
;
Xiaobing CHEN
3
;
Yanlin LUO
4
;
Dan LI
2
;
Hongbin XING
2
;
Chongqing GAO
2
Author Information
1. Department of Radiation Oncology, Affiliated Cancer Hospital of Zhengzhou University (Henan Cancer Hospital), Zhengzhou 450000, China
2. Department of General Surgery, Affiliated Cancer Hospital of Zhengzhou University (Henan Cancer Hospital), Zhengzhou 450000, China
3. Department of Medical Oncology, Affiliated Cancer Hospital of Zhengzhou University (Henan Cancer Hospital), Zhengzhou 450000, China
4. Department of Gynecological Oncology, Affiliated Cancer Hospital of Zhengzhou University (Henan Cancer Hospital), Zhengzhou 450000, China
- Publication Type:Clinical Trail
- Keywords:
Cervical neoplasms;
Radiotherapy;
Recurrence;
Intestinal obstruction;
Surgery
- From:
Chinese Journal of Oncology
2020;42(1):61-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the method of relieving intestinal obstruction in patients with recurrent cervical cancer accompanied with intestinal obstruction after radical radiotherapy.
Methods:The data of 10 recurrent cervical cancer patients accompanied with high risk weak constitution and intestinal obstruction after radical radiotherapy from May 2012 to May 2018 were retrospectively analyzed, including preoperative radiotherapy dose, physique and obstruction status, operation time, operation blood loss, postoperative digestive tract patency and diet. All of the 10 patients with cervical cancer recurrence accompanied with intestinal obstruction and disturbance of independent walking after radical radiotherapy.
Results:The median fasting time of the 10 patients was 21 days, the median weight was 35.5 kg, the median body mass index (BMI) was 13.3 kg/m2, the median value of hemoglobin was 67 g/L, and the median value of platelet was 44×109 /L. All of the patients underwent enterostomy. the median operation time was 6.0 min and the median amount of bleeding was 5.0 ml. All of the patients defecated after operation, fed on the first day after operation, and were able to walk on their own 5 days after operation.
Conclusions:Although the cervical cancer patients with recurrent intestinal obstruction after radical radiotherapy are extremely weak, some patients still have the opportunity to relieve intestinal obstruction if the treatment strategy and surgical method are appropriate.
