术前经肛间断低负压冲洗引流治疗结直肠癌合并肠梗阻的效果

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Abstract Objective To investigate the effect of preoperative low negative pressure irrigation and drainage through the anorectal interval for colorectal cancer complicated with intestinal obstruction.Methods Twenty-three cases of obstructive colorectal carcinoma treated in our hospital between January 2010 and March 2017 were selected as subjects. Before operation, the colonic obstruction tube was placed through the anus. Then, the focus was resected by low negative pressure lavation and drainage for two weeks. Abdominal CT before and after colonic lavage, intraoperative findings, postoperative complications, length of hospital stay and expenses were analyzed.Results Colon decompression was completed successfully in all the patients. Among them, 13 cases of intestinal obstruction were relieved on the same day and 10 cases were relieved after 3 days. CT examination was performed in 5 cases after colonic lavage. Obstruction was relieved and the intestinal lumen diameter returned to normal. No dilation of the intestinal canal and normal wall was observed during operation. There were 2 cases of postoperative wound infection, but no anastomotic fistula occurred. The average length of hospital stay was (14.5±6.7)days, and the cost of hospitalization was (113,000±27,000) yuan.Conclusions Intermittently low negative pressure irrigation and drainage can effectively perform transanal colon decompression, intestinal cleaning and nutrition, which creates good conditions for one-stage laparoscopic resection of colorectal carcinoma.

Key words： colonic decompression colorectal cancer intestinal obstruction

Received: 10 February 2018

ZTFLH:	R656.9
	R657.1

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	Articles by authors
	ZHOU Teng
	ZHENG Hao
	DABU Xilite
	CAI Xiaojun
	JIA Yuanli
	and HAN Chengxin.

Cite this article:

ZHOU Teng,ZHENG Hao,DABU Xilite等. Preoperative treatment of obstruction caused by colorectal cancer via transanal discontinuous suction at low negative pressure[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(9): 892-894.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2018/V29/I9/892

[1]	中华人民共和国卫生和计划生育委员会医政医管局. 结直肠癌诊疗规范(2015年版)[J]. 中华外科杂志, 2015, 53(12):1177-1191.
[2]	石田康男,幡谷洁,樱井修,等.肠梗阻导管经肛门引流新疗法[J].腹部急救诊疗进步,1999,19(1):35-37.
[3]	姚礼庆,钟芸诗,许剑民,等.经肠镜导管减压术在急性低位结直肠梗阻中的应用[J].中华消化内镜杂志,2006,23(5):325-328.
[4]	姚宏伟,傅卫,袁烔,等.经肛肠梗阻导管治疗急性左半结肠恶性梗阻性疾病的临床研究[J].中国微创外科杂志,2006,6(12):941-943.
[5]	周创业.经肛肠梗阻导管及肠内营养在急性梗阻性结直肠癌中的应用[D]. 天津:天津医科大学,2012.
[6]	许剑民,钟芸诗,徐美东,等.经肛型肠梗阻减压导管在急性低位结肠梗阻中的应用[J]. 中华胃肠外科杂志, 2006, 9(4): 308-310.
[7]	Hotta T, Takifuji K, Kobayashi Y, et al. Management of obstructive colorectal cancer: evaluation of preoperative bowel decompression using ileus tube drainage[J]. Surg Today, 2012,42(12): 1154-1164.
[8]	Shingu Y, Hasegawa H, Sakamoto E, et al. Clinical and oncologic safety of laparoscopic surgery for obstructive left colorectal cancer following transanal endoscopic tube decompression[J]. Surg Endosc, 2013, 27(9): 3359-3363.
[9]	苗鹏,张光哲,舒强. 经肛肠梗阻导管在左半结肠癌性肠梗阻患者腹腔镜手术前的应用[J].中华普外科手术学杂志(电子版),2015,9(2):118-120.
[10]	牟一平, 杨鹏, 严加费,等. 腹腔镜结肠癌根治术的临床疗效评估[J]. 中华外科杂志, 2006, 44(9): 581-583.
[11]	Champault G G, Barrat C, Raselli R, et al. Laparoscopic versus open surgery for colorectal carcinoma: a prospective clinical trial involving 157 cases with a mean follow-up of 5 years[J]. Surg Laparosc Endosc Percutan Tech, 2002, 12(12):88-95.