The Research On The Treatment Of The Obstruction

Objective: Comparative analysis of colorectal cancer obstruction term effect of avariety of treatment methods, Looking for a kind of security, a new way to treatobstructive feasibility and efficacy of colorectal cancer.Methods: From January 2013 to December 2014,142 cases of colorectal cancerobstruction were treated in Fujian Provincial Tumor Hospital and Nanping City.Of which 120 cases of successful endoscopic stenting patients, 79 cases of opensurgery, laparoscopic surgery for 41 cases; 22 cases of emergency open surgery.Comparative analysis in operative time, blood loss, flatus, liquid diet time, lengthof stay, number of lymph node pathology, and postoperative complications wereobserved between three group.Results:. There were no serious complications and surgical deaths. On threegroup postoperative. Stenting group and the emergency operation groupcomparison: Wound infection stent group was 12 cases, emergency surgerygroup, 4 patients, the incidence was 10% and 18% respectively(P> 0.05), Theincidence of pulmonary infection was 4% and 13.6% respectively(P> 0.05). Theincidence of intestinal obstruction was 4% and 13.6% respectively(P> 0.05). Theincidence of anastomotic leakage were 0 and 4.5% respectively(P> 0.05). Venouscatheter infection rates were 0 and 4.5% respectively(P> 0.05). Deep veinthrombosis incidence of 0.8%, and 0 respectively(P> 0.05) Bleeding treatmentgroup was significantly less than the control group(P <0.05). Hospitalizationstent group was significantly less than emergency surgery group(P <0.05).Flatus, time flow of food into the stent group than in emergency surgery group isslightly lower(P> 0.05). Lymphadenectomy group was significantly higher thanthe number of stents implanted in emergency surgery group(P <0.05). The operative time was significantly less than stenting emergency surgery group(P<0.05); The cost of hospitalization stenting group than emergency surgery group(P <0.05).Conmpare with laparoscopic group and open surgery group of stentimplantation:Wound infection is one case in the laparoscopic group, opensurgery group, 11 patients, the incidence was 2.4%,and 13.9% respectively(P<0.05). The incidence of pulmonary infection 2.4% and 5% respectively(P> 0.05),The incidence of intestinal obstruction was 2.4% and 5% respectively(P> 0.05).Anastomotic fistula, venous catheter infection rate to zero. Deep vein thrombosisincidence of 0% and 1% respectively(P> 0.05). Time laparoscopic surgery groupslightly open surgery group(P> 0.05); bleeding laparoscopic group wassignificantly less than the open surgery group(P <0.05). Hospital stay, flatus,time flow of food into the laparoscopic group was significantly less than the opensurgery group(P <0.05). Slightly higher than the number of laparoscopiclymphadenectomy group open surgery group(P> 0.05). Hospitalization costslaparoscopic group was significantly higher than the open surgery group(P<0.05).Conclusions: Patients with obstructive colorectal cancer by colonoscopycolorectal stent decompression after elective surgery, one stage match, haveachieved good clinical results, no serious complications. In the safety andcomplication rates, radical tumor surgery on stenting group than emergencysurgery group, while stent implantation abdominal surgery group than in theshort-term effect after open surgery group. By colonoscopy and stenting is aminimally invasive laparoscopic surgery, quick recovery, safe, reliable surgicalapproach, worthy of clinical application...