Two-stage resection for malignant colonic obstructions:The timing of early resection and possible predictive factors
Two-stage resection for malignant colonic obstructions:The timing of early resection and possible predictive factors作者机构：Division of Colon and Rectal SurgeryDepartment of SurgeryTriService General HospitalNational Defense Medical CenterTaipei 114TaiwanChina
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2012年第18卷第25期
页 面：3267-3271页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Colorectal cancer Colostomy Diversion Obstruction Two-stage resection
摘 要：AIM:To study potential predictive factors for early radical resection in two-stage resection for left malignant colonic ***:Thirty-eight cases of left-sided obstructive colon cancer undergoing two-stage operations were reviewed between January 1998 and August *** were classified into two groups(n = 19 each):early radical resection(interval ≤ 10 d) and late radical resection(interval 10 d).Baseline demographics,post-diversion outcome,perioperative data,tumor characteristics,outcome and complications were ***:The baseline demographics revealed no differences except for less pre-diversion sepsis in the early group(P 0.001) and more obstruction days in the late group(P = 0.009).The mean intervals of early and late radical resections were 7.9 ± 1.3 d and 17.8 ± 5.5 d,respectively(P 0.001).After diversion,the presence of bowel sounds,flatus,removal of the nasogastric tube and the resumption of oral feeding occurred earlier in the early *** operation time and duration of hospital stay were both significant reduced in the early *** rates did not differ between ***:The earlier recovery of bowel function seems to be predictive of early radical *** contrast,pre-diversion sepsis and more obstruction days were predictive of delayed radical resection.
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