No preoperative mechanical bowel preparation for colon cancer:a report of 34 cases / 中国医师进修杂志

ABSTRACT

ObjectiveTo study the feasibility of no preoperative mechanical bowel preparation for the colon cancer resection.MethodsSixty-eight patients with colon cancer were divided by random digits table method into observation group and control group with 34 cases each.Patients in observation group were treated without mechanical bowel preparation,while control group received polyethylene glycol electrolyte received bowel preparation.The preoperative symptoms,water and electrolyte disturbance,intraoperative intestinal cleaning,recovery time of intestinal sound and the first exhaust time of two groups were observed.ResultsThe overall adverse reaction incidence of abdominal distension,abdominal pain,nausea,vomit,hunger,powerless and collapse in observation group[20.6％(7/34)] was significantly lower than that in control group [ 52.9％( 18/34 ) ] (P ＜ 0.01 ).The incidence of water and electrolyte disturbance in observation group was 5.9％ (2/34),which had no significant difference compared with that in control group [11.8％(4/34)](P＞0.05).The case numbers of patients with intestinal cleaning grade Ⅰ,Ⅱ,Ⅲ and Ⅳ in observation group were 0,16,18,0 case,respectively,which were significantly less than those in control group[ 18,12,4,0 case] (P ＜ 0.01 ).The incidence of postoperative intestinal inflation,recovery time of intestinal sound and first exhaust time in observation group [ 11.8％(4/34 ),(61.2 ± 5.6) h,(74.0 ± 7.5 ) h ]were significantly lower or shorter than those in control group [ 32.4％ ( 11/34),(72.1 ± 5.8 ) h,(87.0 ± 9.5 )h](P＜ 0.05 ).Conclusion Mechanical bowel preparation before colon cancer surgery can be cancelled.