关键词: 结直肠癌, 肠梗阻, 全结肠灌洗, 根治术

Abstract: 【Abstract】〓Objective〓To investigate the clinical effects of intraoperative whole colon lavage combined with one-stage radical surgery in patients with carcinomatous ileus. Methods〓A total of 60 cases of colorectal cancer complicated with carcinomatous ileus were included in the study from Aug 2001 to Aug 2013 and these patients underwent radical operation. The patients were divided into three groups according to the preoperative management,.intraoperative colonic lavage group (emergency radical operation and intraoperative whole colon lavage),.conventional management group (radical operation after conservative treatment and relieving obstruction) and staging operation group (one-stage intestinal fistulation and two-stage to intestinal anastomosis)..The clinical efficacy was compared between three groups. Results〓The operation time of intraoperative colonic lavage group was longer than that of other two groups (P<0.05), but no differences were observed in the incidence of complications between three groups..There were also not differences in blood loss,.gastric tube indwelling time, duration of fasting postoperation,.total duration of hospitalization in three groups..Conclusion〓For obstructing colorectal cancer patients,.one-stage resection and anastomosis by intraoperative whole colon lavage is feasible,.but it need patients in good general condition and correct judgment by the experienced, skilled surgeon.

Key words: Colorectal cancer, Intestinal obstruction, Whole colonic lavage, Radical operation