One-stage Resection Following Decompression for Obstructive Colorectal Carcinoma
To evaluate one-stage resection following decompression for obstructive colorectal carcinoma. Patients: Seven patients with obstructive colorectal carcinoma underwent resection following decompression were enrolled in this study. Preoperative intestinal decompression was performed with a transanal t...
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| Published in | Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) Vol. 24; no. 6; pp. 1003 - 1006 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society for Abdominal Emergency Medicine
2004
日本腹部救急医学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1340-2242 1882-4781 |
| DOI | 10.11231/jaem1993.24.1003 |
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| Abstract | To evaluate one-stage resection following decompression for obstructive colorectal carcinoma. Patients: Seven patients with obstructive colorectal carcinoma underwent resection following decompression were enrolled in this study. Preoperative intestinal decompression was performed with a transanal tube. Results: Curative elective one-stage resection was achieved in 7 patients. The frequency of lymph node metastase was 57.1%. No leakage occurred in any of the patients who underwent one-stage anastomosis following decompression. One Patient had local recurrence. Conclusion: Decompression with a transanal tube may be useful for one-stage resection in patients with obstructive colorectal carcinoma. |
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| AbstractList | To evaluate one-stage resection following decompression for obstructive colorectal carcinoma. Patients: Seven patients with obstructive colorectal carcinoma underwent resection following decompression were enrolled in this study. Preoperative intestinal decompression was performed with a transanal tube. Results: Curative elective one-stage resection was achieved in 7 patients. The frequency of lymph node metastase was 57.1%. No leakage occurred in any of the patients who underwent one-stage anastomosis following decompression. One Patient had local recurrence. Conclusion: Decompression with a transanal tube may be useful for one-stage resection in patients with obstructive colorectal carcinoma.
【目的】閉塞性左側大腸癌に対する一期的切除を目的とした経肛門的イレウス管の意義について検討した。【対象】大腸癌手術症例962例のうち閉塞性大腸癌は14例 (1.5%) で, そのうち切除した左側大腸癌7例を対象とした。【結果】術前腸管減圧法は, 経肛門的イレウス管7例であった。切除術の根治度はA: 4例, B: 3例で, リンパ節郭清はD1: 1例, D3: 5例, D3+216: 1例であった。腫瘍の深達度は全例ss以深で, リンパ節転移率は57.1% (n1: 2例, n2: 1例, n4: 1例) であった。吻合を行った6例では縫合不全は認めなかった。再発は局所再発1例のみで, その他は無再発生存中である。【結語】閉塞性大腸癌症例ではリンパ節転移率が高率であり, 十分なリンパ節郭清が望まれるが, イレウス管により腸管の減圧および全身状態の改善を図ることは, 一期的根治切除術に有用である。 To evaluate one-stage resection following decompression for obstructive colorectal carcinoma. Patients: Seven patients with obstructive colorectal carcinoma underwent resection following decompression were enrolled in this study. Preoperative intestinal decompression was performed with a transanal tube. Results: Curative elective one-stage resection was achieved in 7 patients. The frequency of lymph node metastase was 57.1%. No leakage occurred in any of the patients who underwent one-stage anastomosis following decompression. One Patient had local recurrence. Conclusion: Decompression with a transanal tube may be useful for one-stage resection in patients with obstructive colorectal carcinoma. |
| Author | Saito, Shuji Fujii, Shoichi Ichikawa, Yasushi Shimada, Hiroshi Ike, Hideyuki Yamagishi, Shigeru Imada, Toshio Ohki, Shigeo |
| Author_FL | 嶋田 紘 藤井 正一 池 秀之 斎藤 修治 市川 靖史 山岸 茂 今田 敏夫 大木 繁夫 |
| Author_FL_xml | – sequence: 1 fullname: 山岸 茂 – sequence: 2 fullname: 池 秀之 – sequence: 3 fullname: 斎藤 修治 – sequence: 4 fullname: 今田 敏夫 – sequence: 5 fullname: 藤井 正一 – sequence: 6 fullname: 市川 靖史 – sequence: 7 fullname: 大木 繁夫 – sequence: 8 fullname: 嶋田 紘 |
| Author_xml | – sequence: 1 fullname: Saito, Shuji organization: Yokohama City University Medical Center, Gastroenterological Center, Yokohama City University Graduate School of Medicine – sequence: 1 fullname: Yamagishi, Shigeru organization: Yokohama City University Medical Center, Gastroenterological Center, Yokohama City University Graduate School of Medicine – sequence: 1 fullname: Imada, Toshio organization: Yokohama City University Medical Center, Gastroenterological Center, Yokohama City University Graduate School of Medicine – sequence: 1 fullname: Ichikawa, Yasushi organization: Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine – sequence: 1 fullname: Shimada, Hiroshi organization: Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine – sequence: 1 fullname: Ike, Hideyuki organization: Yokohama City University Medical Center, Gastroenterological Center, Yokohama City University Graduate School of Medicine – sequence: 1 fullname: Fujii, Shoichi organization: Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine – sequence: 1 fullname: Ohki, Shigeo organization: Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine |
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| PublicationTitle | Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) |
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| PublicationTitle_FL | J Abdom Emerg Med 日本腹部救急医学会雑誌 日腹部救急医会誌 Journal of Abdominal Emergency Medicine Nihon Fukubu Kyukyu Igakkai Zasshi |
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| Publisher | Japanese Society for Abdominal Emergency Medicine 日本腹部救急医学会 |
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| References | 2) Vigder L, Tzur N, Huber M, et al: Management of obstructive carcinoma of the left colon. Arch Surg 1985; 120: 825-828. 5) 江口輝男, 植田利貞, 中村正彦, ほか: 大腸癌イレウスの臨床病理学的検討とその治療. 日消外会誌1996; 29: 2116-2121. 8) 渡邊真哉, 小林陽一郎, 宮田完志, ほか: 経肛門的イレウス管挿入後, 大腸穿孔をきたした2例. 日臨外会誌2001; 62: 703-707. 9) 大東誠司, 堀田亮, 棚瀬信太郎, ほか: 閉塞性左側大腸癌に対する経肛門的イレウス管の有用性と問題点. 日本大腸肛門病会誌2003; 56: 103-108. 11) 長谷川久美, 杉原健一, 榎本雅之: 閉塞性大腸癌の検討. 日消外会誌2000; 33: 709-715. 3) Copeland GP, Jones D, Walters M: POSSUM: a scoring system for surgical audit. Br J Surg 1991; 78: 355-360. 6) 落合匠, 杉谷通直, 野口肇, ほか: 癌性イレウス時における経肛門的腸管減圧術の検討. 日本大腸肛門病会誌1996; 49: 171-174. 7) 堀川直樹, 増山喜一, 島多勝夫, ほか: 経肛門的腸管減圧チューブにより大腸穿通をきたした直腸癌イレウスの1例. 日臨外会誌2002; 63: 1755-1759. 1) Murray JJ, Schoetz DJ, Coller JA, et al: Intraoperative colonic lavage and primary anastomosis in nonelective colon resection. Dis Colon Rectum 1991; 34: 527-531. 10) Paolo GSC, Marco S, Bruno MC, et al: Obstructing Colonic Cancer: Failure and Survival Patterns over a Ten-Year Follow-up After One-Stage Curative Surgery. Dis Colon and Rectum, February 2001; 243-250. 4) 山本隆行, 松本好市: 大腸癌イレウス症例の臨床病理学的特徴と治療法についての検討. 外科1996; 58: 100-104. |
| References_xml | – reference: 2) Vigder L, Tzur N, Huber M, et al: Management of obstructive carcinoma of the left colon. Arch Surg 1985; 120: 825-828. – reference: 9) 大東誠司, 堀田亮, 棚瀬信太郎, ほか: 閉塞性左側大腸癌に対する経肛門的イレウス管の有用性と問題点. 日本大腸肛門病会誌2003; 56: 103-108. – reference: 6) 落合匠, 杉谷通直, 野口肇, ほか: 癌性イレウス時における経肛門的腸管減圧術の検討. 日本大腸肛門病会誌1996; 49: 171-174. – reference: 3) Copeland GP, Jones D, Walters M: POSSUM: a scoring system for surgical audit. Br J Surg 1991; 78: 355-360. – reference: 7) 堀川直樹, 増山喜一, 島多勝夫, ほか: 経肛門的腸管減圧チューブにより大腸穿通をきたした直腸癌イレウスの1例. 日臨外会誌2002; 63: 1755-1759. – reference: 4) 山本隆行, 松本好市: 大腸癌イレウス症例の臨床病理学的特徴と治療法についての検討. 外科1996; 58: 100-104. – reference: 8) 渡邊真哉, 小林陽一郎, 宮田完志, ほか: 経肛門的イレウス管挿入後, 大腸穿孔をきたした2例. 日臨外会誌2001; 62: 703-707. – reference: 11) 長谷川久美, 杉原健一, 榎本雅之: 閉塞性大腸癌の検討. 日消外会誌2000; 33: 709-715. – reference: 1) Murray JJ, Schoetz DJ, Coller JA, et al: Intraoperative colonic lavage and primary anastomosis in nonelective colon resection. Dis Colon Rectum 1991; 34: 527-531. – reference: 10) Paolo GSC, Marco S, Bruno MC, et al: Obstructing Colonic Cancer: Failure and Survival Patterns over a Ten-Year Follow-up After One-Stage Curative Surgery. Dis Colon and Rectum, February 2001; 243-250. – reference: 5) 江口輝男, 植田利貞, 中村正彦, ほか: 大腸癌イレウスの臨床病理学的検討とその治療. 日消外会誌1996; 29: 2116-2121. |
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| SubjectTerms | 一期的吻合術 腸管減圧術 閉塞性大腸癌 |
| Title | One-stage Resection Following Decompression for Obstructive Colorectal Carcinoma |
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