Surgery treatment of colon cancer with acute ileus in old patients(45 cases reported)

Objective To investigate the clinical characteristics,perioperative surgical treatment and choice of operative method in the old patients with colon cancer with acute ileus.Methods The data of 45 cases of the old patients with colon cancer with acute ileus treated by surgical treatment were analyzed retrospectively.Results Thirtynine cases were diagnosed(86.67%) before operation,including 6 patients with enterobrosis;26 patients(57.78%) were primary resected,including 7 patients(15.56%) with proximal colostomy ;9 patients(20.00%) were secondary resected;3 patients(6.67%) with the stage of Dukes D were treated with proximal colostomy only;11 patients(24.44%) appeared cut complications,including 4 patients with cut infection and 7 patients with cut disruption;2 patients appeared anastomotic leakage;3 patients died from anastomotic leakage,infestation and multiple organ failure respectively after operation.42 patients were followed up and the mean survival time was(23.40±4.56) months.Conclusions The old patients with colon cancer with acute ileus has complex clinical manifestation and accompanies high complication rates.Surgical resection is major treatment method,and positive perioperative treatment,correct operative occasion and proper operative method are key for reducing operative risk and complications and fixing curative effect.