The Management of Left Colon Carcinoma Obstruction_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

Department of General Surgery, Daping Hospital, The Third Military Medical University, Chongqing 400042;

Corresponding author：

Keywords：

Left colon carcinoma Intestinal obstruction Surgery

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the surgical techniques for management of left colon carcinoma obstruction. MethodsThe techniques used in left colon carcinoma obstruction and the corresponding efficiencies reported in foreign literatures were reviewed. ResultsThe surgical techniques for management of left colon carcinoma obstruction involve palliative operation, staged operation and onestage operation. These methods had their own virtues as well as shortages. But on all accounts, onestage operation was favorable for both the patients and docters. ConclusionDifferent methods for management of left colon carcinoma obstruction have different adaptation index, first you must ensure safety, then you should try your best to do onestage operation.

Citation： FU ao,LIU Baohua,WANG Daike.. The Management of Left Colon Carcinoma Obstruction. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(5): 361-363. doi: Copy

1.	Gerber A, Thompson RJ Jr. Use of a tube cecostomy to lower the mortality in acute large intestinal obstruction due to carcinoma [J].Am J Surg, 1965; 110(6)∶893.
2.	Perrier G, Peillon C, Liberge N, et al. Cecostomy is a useful surgical procedure: study of 113 colonic obstructions caused by cancer [J]. Dis Colon Rectum, 2000; 43(1)∶50.
3.	Thomson WH, White S, O’leary DP. Tube caecostomy to protect rectal anastomoses [J]. Br J Surg, 1998; 85(11)∶1533.
4.	De Palma GD, Di Matteo E, Monaco A, et al. Results of endoscopic NdYag laser treatment of inoperable colorectal carcinoma [J]. Minerva Chir, 1996; 51(3)∶87.
5.	Farouk R, Ratnaval CD, Monson JR, et al. Staged delivery of Nd∶YAG laser therapy for palliation of advanced rectal carcinoma [J]. Dis Colon Rectum, 1997; 40(2)∶156.
6.	Karnel F, Jantsch H, Niederle B. Implantation of a mental stent in a malignant stenosis in a colon interposition [J]. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr, 1991; 154(1)∶120.
7.	Desroches E, Faucheron JL,Sengel C, et al. Selfexpandable metal stent in the treatment of obstructive cancer of the left colon. Preliminary results and review of the literature [J]. Ann Chir, 1999; 53(10)∶1029.
8.	Camunez F,Echenagusia A,Simo G,et al.Malignant colorectal obstruction treated by means of selfexpanding metallic stents: Effectiveness before surgery and in palliation [J].Radiology,2000; 216(2)∶492.
9.	Feuer DJ, Broadley KE, Shepherd JH, et al. Systematic review of surgery in malignant bowel obstruction in advanced gynecological and gastrointestinal cancer. The Systematic Review Steering Committee [J].Gynecol Oncol， 1999; 75(3)∶313.
10.	Tschmelitsch J, Wykypiel H, Prommegger R, et al. Colostomy vs tube cecostomy for protection of a low anastomosis in rectal cancer [J]. Arch Surg, 1999; 134(12)∶1385.
11.	Dudley HA, Racliffe AG, McGeehan D. Intraoperative irrigation of the colon to permit primary anastomosis [J]. Br J Surg, 1980; 67(2)∶80.
12.	Runkel NS, Hinz U, Lehnert T, et al. Improved outcome after emergency surgery of the large intestine [J]. Br J Surg, 1998; 85(9)∶1260.
13.	Chiappa A, Zbar A, Biella F, et al. Onestage resection and primary anastomosis following acute obstruction of the left colon for cancer [J]. Am Surg, 2000; 66(7)∶619.
14.	Hsu TC. Onestage resection and anastomosis for acute obstruction of the left colon [J]. Dis Colon Rectum, 1998; 41(1)∶28.
15.	Naraynsingh V,Rampaul R, Maharaj D, et al. Prospective study of primary anastomosis without colonic lavage for patients with an obstructed left colon [J]. Br J Surg, 1999; 86(10)∶1341.
16.	Hughes ES, Cuthbertson AM. Subtotal colectomy for obstructing carcinoma of the upper left colon [J]. Dis Colon Rectum, 1965; 8(6)∶411.
17.	Deen KI, Madoff RD, Goldberg SM, et al. Surgical management of left colon obstruction: the University of Minnesota experience [J]. J Am Coll Surg, 1998; 187(6)∶573.
18.	Torralba JA, Robles R, Parrilla P. Subtotal colectomy vs. intraoperative colonic irrigation in the management of obstructed left colon carcinoma [J]. Dis Colon Rectum, 1998; 41(1)∶18.
19.	Arnaud JP, Tuech JJ, Duplessis R, et al. Role of subtotal/total colectomy in emergency treatment of occlusive cancer of the left colon [J]. Ann Chir, 1999; 53(10)∶1019.

1. Gerber A, Thompson RJ Jr. Use of a tube cecostomy to lower the mortality in acute large intestinal obstruction due to carcinoma [J].Am J Surg, 1965; 110(6)∶893.
2. Perrier G, Peillon C, Liberge N, et al. Cecostomy is a useful surgical procedure: study of 113 colonic obstructions caused by cancer [J]. Dis Colon Rectum, 2000; 43(1)∶50.
3. Thomson WH, White S, O’leary DP. Tube caecostomy to protect rectal anastomoses [J]. Br J Surg, 1998; 85(11)∶1533.
4. De Palma GD, Di Matteo E, Monaco A, et al. Results of endoscopic NdYag laser treatment of inoperable colorectal carcinoma [J]. Minerva Chir, 1996; 51(3)∶87.
5. Farouk R, Ratnaval CD, Monson JR, et al. Staged delivery of Nd∶YAG laser therapy for palliation of advanced rectal carcinoma [J]. Dis Colon Rectum, 1997; 40(2)∶156.
6. Karnel F, Jantsch H, Niederle B. Implantation of a mental stent in a malignant stenosis in a colon interposition [J]. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr, 1991; 154(1)∶120.
7. Desroches E, Faucheron JL,Sengel C, et al. Selfexpandable metal stent in the treatment of obstructive cancer of the left colon. Preliminary results and review of the literature [J]. Ann Chir, 1999; 53(10)∶1029.
8. Camunez F,Echenagusia A,Simo G,et al.Malignant colorectal obstruction treated by means of selfexpanding metallic stents: Effectiveness before surgery and in palliation [J].Radiology,2000; 216(2)∶492.
9. Feuer DJ, Broadley KE, Shepherd JH, et al. Systematic review of surgery in malignant bowel obstruction in advanced gynecological and gastrointestinal cancer. The Systematic Review Steering Committee [J].Gynecol Oncol， 1999; 75(3)∶313.
10. Tschmelitsch J, Wykypiel H, Prommegger R, et al. Colostomy vs tube cecostomy for protection of a low anastomosis in rectal cancer [J]. Arch Surg, 1999; 134(12)∶1385.
11. Dudley HA, Racliffe AG, McGeehan D. Intraoperative irrigation of the colon to permit primary anastomosis [J]. Br J Surg, 1980; 67(2)∶80.
12. Runkel NS, Hinz U, Lehnert T, et al. Improved outcome after emergency surgery of the large intestine [J]. Br J Surg, 1998; 85(9)∶1260.
13. Chiappa A, Zbar A, Biella F, et al. Onestage resection and primary anastomosis following acute obstruction of the left colon for cancer [J]. Am Surg, 2000; 66(7)∶619.
14. Hsu TC. Onestage resection and anastomosis for acute obstruction of the left colon [J]. Dis Colon Rectum, 1998; 41(1)∶28.
15. Naraynsingh V,Rampaul R, Maharaj D, et al. Prospective study of primary anastomosis without colonic lavage for patients with an obstructed left colon [J]. Br J Surg, 1999; 86(10)∶1341.
16. Hughes ES, Cuthbertson AM. Subtotal colectomy for obstructing carcinoma of the upper left colon [J]. Dis Colon Rectum, 1965; 8(6)∶411.
17. Deen KI, Madoff RD, Goldberg SM, et al. Surgical management of left colon obstruction: the University of Minnesota experience [J]. J Am Coll Surg, 1998; 187(6)∶573.
18. Torralba JA, Robles R, Parrilla P. Subtotal colectomy vs. intraoperative colonic irrigation in the management of obstructed left colon carcinoma [J]. Dis Colon Rectum, 1998; 41(1)∶18.
19. Arnaud JP, Tuech JJ, Duplessis R, et al. Role of subtotal/total colectomy in emergency treatment of occlusive cancer of the left colon [J]. Ann Chir, 1999; 53(10)∶1019.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The Management of Left Colon Carcinoma Obstruction

Abstract Full text Figures/Tables Video References Cited by

Format

Content