Clinical efficacy of intestinal stent placement combined with laparoscopic surgery in the treatment of obstructive left-sided colon cancer

[Objectives] To investigate the clinical efficacy of intestinal stent placement combined with laparoscopic surgery in the treatment of obstructive left-sided colon cancer. [Methods] Twenty-eight patients with left-sided colon cancer complicated with intestinal obstruction, who were admitted to the D...

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Main Authors: Yang Zhigang, Che Minghua, Huang Hai, He Chengxiang
Format: Article
Language:zho
Published: Editorial Office of Journal of Colorectal & Anal Surgery 2023-08-01
Series:结直肠肛门外科
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Online Access:https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=200&cateName=2023%E5%B9%B4%20%E7%AC%AC29%E5%8D%B7%20%E7%AC%AC4%E6%9C%9F
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author Yang Zhigang
Che Minghua
Huang Hai
He Chengxiang
author_facet Yang Zhigang
Che Minghua
Huang Hai
He Chengxiang
author_sort Yang Zhigang
collection DOAJ
description [Objectives] To investigate the clinical efficacy of intestinal stent placement combined with laparoscopic surgery in the treatment of obstructive left-sided colon cancer. [Methods] Twenty-eight patients with left-sided colon cancer complicated with intestinal obstruction, who were admitted to the Department of General Surgery at Liqun Hospital in Putuo District, Shanghai from January 2016 to June 2022, were selected as the study subjects. Intestinal stent placement combined with laparoscopic surgery was performed in all the patients. The intestinal stent placement and relevant clinical parameters, as well as laparoscopic surgery-related indicators, were observed and recorded. [Results] All patients successfully underwent intestinal stent placement without displacement, detachment, or intestinal perforation. All patients underwent laparoscopic surgery two weeks later. The white blood cell count, hemoglobin level, albumin level, and blood potassium concentration of the patients before laparoscopic surgery were superior to those at admission (P < 0.05). No patients experienced intra-abdominal bleeding after laparoscopic surgery. Two patients had incision infection, while three required prophylactic terminal ileostomy. After three months, ileostomy closure was performed, with one patient experiencing anastomotic leakage. All affected patients recovered after conservative treatment, with no perioperative deaths recorded. [Conclusion] Intestinal stent placement combined with laparoscopic surgery offers a safe and reliable treatment approach for obstructive left-sided colon cancer. Preoperative intestinal stent placement effectively relieves intestinal obstruction symptoms, and provides a good opportunity for further laparoscopic surgery.
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spelling doaj-art-ee57ce267e1b431eb024e89f5db6dae12025-08-20T01:51:45ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912023-08-0129436336710.19668/j.cnki.issn1674-0491.2023.04.009Clinical efficacy of intestinal stent placement combined with laparoscopic surgery in the treatment of obstructive left-sided colon cancerYang Zhigang0Che Minghua1Huang Hai2He Chengxiang3Department of General Surgery, Liqun Hospital, Putuo District, Shanghai 200333, ChinaDepartment of General Surgery, Liqun Hospital, Putuo District, Shanghai 200333, ChinaDepartment of General Surgery, Liqun Hospital, Putuo District, Shanghai 200333, ChinaDepartment of General Surgery, Liqun Hospital, Putuo District, Shanghai 200333, China[Objectives] To investigate the clinical efficacy of intestinal stent placement combined with laparoscopic surgery in the treatment of obstructive left-sided colon cancer. [Methods] Twenty-eight patients with left-sided colon cancer complicated with intestinal obstruction, who were admitted to the Department of General Surgery at Liqun Hospital in Putuo District, Shanghai from January 2016 to June 2022, were selected as the study subjects. Intestinal stent placement combined with laparoscopic surgery was performed in all the patients. The intestinal stent placement and relevant clinical parameters, as well as laparoscopic surgery-related indicators, were observed and recorded. [Results] All patients successfully underwent intestinal stent placement without displacement, detachment, or intestinal perforation. All patients underwent laparoscopic surgery two weeks later. The white blood cell count, hemoglobin level, albumin level, and blood potassium concentration of the patients before laparoscopic surgery were superior to those at admission (P < 0.05). No patients experienced intra-abdominal bleeding after laparoscopic surgery. Two patients had incision infection, while three required prophylactic terminal ileostomy. After three months, ileostomy closure was performed, with one patient experiencing anastomotic leakage. All affected patients recovered after conservative treatment, with no perioperative deaths recorded. [Conclusion] Intestinal stent placement combined with laparoscopic surgery offers a safe and reliable treatment approach for obstructive left-sided colon cancer. Preoperative intestinal stent placement effectively relieves intestinal obstruction symptoms, and provides a good opportunity for further laparoscopic surgery.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=200&cateName=2023%E5%B9%B4%20%E7%AC%AC29%E5%8D%B7%20%E7%AC%AC4%E6%9C%9Fintestinal obstructionleft-sided colon cancerintestinal stentlaparoscopic surgery
spellingShingle Yang Zhigang
Che Minghua
Huang Hai
He Chengxiang
Clinical efficacy of intestinal stent placement combined with laparoscopic surgery in the treatment of obstructive left-sided colon cancer
结直肠肛门外科
intestinal obstruction
left-sided colon cancer
intestinal stent
laparoscopic surgery
title Clinical efficacy of intestinal stent placement combined with laparoscopic surgery in the treatment of obstructive left-sided colon cancer
title_full Clinical efficacy of intestinal stent placement combined with laparoscopic surgery in the treatment of obstructive left-sided colon cancer
title_fullStr Clinical efficacy of intestinal stent placement combined with laparoscopic surgery in the treatment of obstructive left-sided colon cancer
title_full_unstemmed Clinical efficacy of intestinal stent placement combined with laparoscopic surgery in the treatment of obstructive left-sided colon cancer
title_short Clinical efficacy of intestinal stent placement combined with laparoscopic surgery in the treatment of obstructive left-sided colon cancer
title_sort clinical efficacy of intestinal stent placement combined with laparoscopic surgery in the treatment of obstructive left sided colon cancer
topic intestinal obstruction
left-sided colon cancer
intestinal stent
laparoscopic surgery
url https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=200&cateName=2023%E5%B9%B4%20%E7%AC%AC29%E5%8D%B7%20%E7%AC%AC4%E6%9C%9F
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AT cheminghua clinicalefficacyofintestinalstentplacementcombinedwithlaparoscopicsurgeryinthetreatmentofobstructiveleftsidedcoloncancer
AT huanghai clinicalefficacyofintestinalstentplacementcombinedwithlaparoscopicsurgeryinthetreatmentofobstructiveleftsidedcoloncancer
AT hechengxiang clinicalefficacyofintestinalstentplacementcombinedwithlaparoscopicsurgeryinthetreatmentofobstructiveleftsidedcoloncancer