Successful one-stage operation for completely obstructive colorectal carcinoma.
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.
Saku
M
M
Department of Surgery, National Kyushu Medical Center Hospital, Fukuoka, Japan.
Maekawa
S
S
Ikejiri
K
K
Yakabe
S
S
Anai
H
H
Yoshida
K
K
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