2014Practical Clinical MedicineRequires access

Clinical Treatment of Colorectal Cancer Complicated by Bowel Obstruction: Experience with 42 Cases

LI Quan-ron

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Abstract

Objective To investigate the clinical effects of surgical operation on colorectal cancer complicated by bowel obstruction. Methods Treatment methods and clinical efficacies were analyzed in 42 patients with colorectal cancer and bowel obstruction. Results Standardized surgical procedures were successfully completed in all patients. Average intraoperative blood loss and mean operating time were(172.4 ±22.2)mL and(148.5 ±16.0)min, respectively. The total effective rate was 64.3%. The incidence of complications was 7.1%(1 case of incision infection and 1 case of cardiovascular disease). No patients died during 3 months of follow-up. The serum levels of carcinoembryonic antigen and carbohydrate antigen CA19-9 gradually decreased over time(P0.05).Conclusion Appropriate surgical approach should be selected according to the patient's condition to improve curative efficacies, reduce complications and increase survival in patients with colorectal cancer and bowel obstruction.

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What this paper is about

Objective To investigate the clinical effects of surgical operation on colorectal cancer complicated by bowel obstruction. Methods Treatment methods and clinical efficacies were analyzed in 42 patients with colorectal cancer and bowel obstruction. Results Standardized surgical procedures were successfully completed in all patients. Average intraoperative blood loss and mean operating time were(172.4 ±22.2)mL and(148.5 ±16.0)min, respectively. The total effective rate was 64.3%. The incidence of complications was 7.1%(1 case of incision infection and 1 case of cardiovascular disease). No patients died during 3 months of follow-up. The serum levels of carcinoembryonic antigen and carbohydrate antigen CA19-9 gradually decreased over time(P0.05).Conclusion Appropriate surgical approach should be selected according to the patient's condition to improve curative efficacies, reduce complications and increase survival in patients with colorectal cancer and bowel obstruction.

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Available abstract

Objective To investigate the clinical effects of surgical operation on colorectal cancer complicated by bowel obstruction. Methods Treatment methods and clinical efficacies were analyzed in 42 patients with colorectal cancer and bowel obstruction. Results Standardized surgical procedures were successfully completed in all patients. Average intraoperative blood loss and mean operating time were(172.4 ±22.2)mL and(148.5 ±16.0)min, respectively. The total effective rate was 64.3%. The incidence of complications was 7.1%(1 case of incision infection and 1 case of cardiovascular disease). No patients died during 3 months of follow-up. The serum levels of carcinoembryonic antigen and carbohydrate antigen CA19-9 gradually decreased over time(P0.05).Conclusion Appropriate surgical approach should be selected according to the patient's condition to improve curative efficacies, reduce complications and increase survival in patients with colorectal cancer and bowel obstruction.

Key concepts: Medicine, Colorectal cancer, Carcinoembryonic antigen, Bowel obstruction, Surgery, Incidence (geometry), Blood loss, Cancer

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Clinical Treatment of Colorectal Cancer Complicated by Bowel Obstruction: Experience with 42 Cases — Research Paper | ScholarLens