Complete Single Stage Management of Left Colon Cancer Obstruction with a New Devices
Journal of the Korean Society of Coloproctology
; : 30-36, 2002.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-116752
Biblioteca responsável:
WPRO
ABSTRACT
Intraoperative antegrade colonic irrigation for single stage procedure in left colon cancer obstruction is a preferred technique recently however, synchronous pathology cannot be detected. A new device that enables easy intraoperative irrigation and colonoscopy before resection of tumor was devised. PURPOSE:
To evaluate the efficacy of the new device for single stage procedure in left colon cancer obstruction.METHODS:
The new device (NICI; MITech co., Ltd, Seoul, Korea) consists of a Y-shaped teflon tube of maximum diameter 2.9, 3.5 and 4.1 cm, one proximal end is designed to connect with the dilated colon just proximal to the lesion. Two distal branches are for drainage of fecal matter and for retrograde insertion of irrigation catheter and subsequent colonoscope respectively.RESULTS:
There were 53 patients (27 male, median age 64, range; 28~82) who underwent this procedure. No extraintestinal leaks were encountered. The volume of saline used was 12 (range; 6 to 27) Liters over 14 (range; 9 to 22) minutes. Subsequent colonoscopic examination added 10 (range, 8 to 15) minutes to the entire operation in 28 patients. There were one anastomotic leakage and 2 wound infections, however, there was no operative mortality. On-table colonoscopy resulted in extended resection in 3 cases because of synchronous malignancy in frozen biopsy and found synchronous polyps in 13 of 28 cases.CONCLUSIONS:
The new device enabled safe, simple and time saving single stage surgical management of left colon cancer obstruction. The ability to perform on-table colonoscopy enabled treatment of synchronous bowel pathology.
Texto completo:
Disponível
Contexto em Saúde:
Doenças Negligenciadas
/
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Zoonoses
/
Neoplasias Colorretais
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Patologia
/
Pólipos
/
Politetrafluoretileno
/
Infecção dos Ferimentos
/
Biópsia
/
Drenagem
/
Mortalidade
/
Colonoscopia
/
Colo
/
Neoplasias do Colo
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Journal of the Korean Society of Coloproctology
Ano de publicação:
2002
Tipo de documento:
Artigo