2013Anhui Medical and Pharmaceutical JournalRequires access

Application of intraoperative colonic irrigation in colon obstruction caused by left colon cancer

Gao Jianju

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Abstract

Objective To analyze the value of intraoperative colonic irrigation in one-stage resection and anastomosis for colon obstruction caused by left colon cancer. Methods 50 patients in Guangde People's Hospital from December 2010 to December 2012 were divided into two groups by random. 25 cases of the observation group were treated by hospital stage I tumors resection and anastomosis,full-colonic irrigation. 25 patients of the control group were treated by II stage anastomosis. The incidence of anastomotic leakage,wound infection, and hospitalization time and postoperative quality comparison were observed. Results Two groups of patients were cured. The incidence of postoperative complications in the observation group was 24. 0%,significantly lower than 36. 0% in the control group,with a statistically significant difference,P 0. 05; in observation group hospitalization time was( 16. 5 ± 4. 5) days,significantly shorter than that in the control group,( 26. 7 ± 4. 3) days,with a statistically significant difference. Quality of life after hospital discharge during follow-up was significantly higher in the observation group than the control group,with a statistically significant difference,P 0. 05. Conclusions Intraoperative colonic irrigation is safe and reliable in one-stage resection and anastomosis for colon obstruction caused by left colon cancer. Intraoperative colonic irrigation is the key to the success of the operation.

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Objective To analyze the value of intraoperative colonic irrigation in one-stage resection and anastomosis for colon obstruction caused by left colon cancer. Methods 50 patients in Guangde People's Hospital from December 2010 to December 2012 were divided into two groups by random. 25 cases of the observation group were treated by hospital stage I tumors resection and anastomosis,full-colonic irrigation. 25 patients of the control group were treated by II stage anastomosis. The incidence of anastomotic leakage,wound infection, and hospitalization time and postoperative quality comparison were observed. Results Two groups of patients were cured. The incidence of postoperative complications in the observation group was 24. 0%,significantly lower than 36. 0% in the control group,with a statistically significant difference,P 0. 05; in observation group hospitalization time was( 16. 5 ± 4. 5) days,significantly shorter than that in the control group,( 26. 7 ± 4. 3) days,with a statistically significant difference. Quality of life after hospital discharge during follow-up was significantly higher in the observation group than the control group,with a statistically significant difference,P 0. 05. Conclusions Intraoperative colonic irrigation is safe and reliable in one-stage resection and anastomosis for colon obstruction caused by left colon cancer. Intraoperative colonic irrigation is the key to the success of the operation.

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Available abstract

Objective To analyze the value of intraoperative colonic irrigation in one-stage resection and anastomosis for colon obstruction caused by left colon cancer. Methods 50 patients in Guangde People's Hospital from December 2010 to December 2012 were divided into two groups by random. 25 cases of the observation group were treated by hospital stage I tumors resection and anastomosis,full-colonic irrigation. 25 patients of the control group were treated by II stage anastomosis. The incidence of anastomotic leakage,wound infection, and hospitalization time and postoperative quality comparison were observed. Results Two groups of patients were cured. The incidence of postoperative complications in the observation group was 24. 0%,significantly lower than 36. 0% in the control group,with a statistically significant difference,P 0. 05; in observation group hospitalization time was( 16. 5 ± 4. 5) days,significantly shorter than that in the control group,( 26. 7 ± 4. 3) days,with a statistically significant difference. Quality of life after hospital discharge during follow-up was significantly higher in the observation group than the control group,with a statistically significant difference,P 0. 05. Conclusions Intraoperative colonic irrigation is safe and reliable in one-stage resection and anastomosis for colon obstruction caused by left colon cancer. Intraoperative colonic irrigation is the key to the success of the operation.

Key concepts: Medicine, Anastomosis, Colorectal cancer, Surgery, Incidence (geometry), Stage (stratigraphy), Significant difference, Resection

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