title: Successful one-stage operation for completely obstructive colorectal carcinoma.
abstract: We describe herein a new and successful method of performing a safe and steady one-stage operation for completely obstructive colorectal carcinoma. First, a long ileus tube is utilized to decompress the dilated proximal bowel preoperatively and irrigate the feces-loaded colon intraoperatively. Following this procedure, a standard resection with radical lymph node dissection is carried out without a diverting colostomy. We performed this procedure successfully in seven patients, none of whom developed any anastomotic leakage.
authors.affiliation: Department of Surgery, National Kyushu Medical Center Hospital, Fukuoka, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Saku
authors.forename: S
authors.initials: S
authors.lastname: Maekawa
authors.forename: K
authors.initials: K
authors.lastname: Ikejiri
authors.forename: S
authors.initials: S
authors.lastname: Yakabe
authors.forename: H
authors.initials: H
authors.lastname: Anai
authors.forename: K
authors.initials: K
authors.lastname: Yoshida
mesh_terms: D003082:Colectomy; D015179:Colorectal Neoplasms / Q000150:complications / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D008197:Lymph Node Excision; D007507:Therapeutic Irrigation / Q000379:methods