Comparison on clinical efficacy and complications of emergency stage Ⅰ resection and anastomosis versus staged resection and anastomosis for obstructive left colon cancer
Objective To compare the clinical efficacy and postoperative complications of emergency stage Ⅰ resection and anastomosis and staged resection and anastomosis for obstructive left colon cancer.Methods Ninety-one patients with obstructive left colon cancer admitted to Huaihe Hospital of Henan University from March 2021 to December 2022 were selected as study samples.The patients were randomly divided into control group and study group.The control group(n=45)received staged resection and anastomosis treatment,while the study group(n=46)received emergency stage Ⅰ resection and anastomosis.The total effective rate,surgical related indicators,and postoperative complications were compared between the two groups.Results The total effective rate of the study group(97.83%,45/46)was higher than that of the control group(82.22%,37/45),the difference was significant(P<0.05).The study group had shorter postoperative exhaust time,drainage tube removal time,hospitalization time,and first postoperative bed activity time compared to those of the control group(P<0.05).The incidence of postoperative complications in the study group(4.35%,2/46)was lower than that in the control group(20.00%,9/45),the difference was significant(P<0.05).Conclusions Compared with staged resection and anastomosis,emergency stage Ⅰ resection and anastomosis has a more ideal therapeutic effect and a lower incidence of postoperative complications in obstructive left colon cancer.
Obstructive left colon cancerEmergency phase Ⅰ resection and anastomosisStaged resection and anastomosisComplications