Comparison of the effects of intestinal stent placement combined with elective surgery and emergency surgery in the treatment of obstructive colorectal cancer
Objective To compare the effects of intestinal stent placement combined with elective surgery and emergency surgery in the treatment of obstructive colorectal cancer.Methods A total of 62 patients with obstructive colorectal cancer admitted in our hospital from January 2020 to May 2023 were selected as the research objects.According to the random number table method,the patients were divided into control group(31 cases,emergency surgery)and study group(31 cases,intestinal stent placement combined with elective surgery).The surgical effects of the two groups were compared.Results The operation time,postoperative first ventilation time and postoperative hospitalization time of the study group were shorter than those of the control group,the intraoperative blood loss was less than that of the control group,the number of lymph node dissection was more than that of the control group,the first stageanastomosis rate was higher than that of the control group,and the stoma rate was lower than that of the control group(P＜0.05).At 3 d after operation,the levels of C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6)in the observation group were lower than those in the control group,while the CD3+and CD4+were higher than those in the control group(P＜0.05).At 1,3 and 6 months after operation,the Low Anterior Resection Syndrome(LARS)score of the study group was lower than that of the control group(P＜0.05).Conclusion Compared with emergency surgery,intestinal stent placement combined with elective surgery is more effective in the treatment of patients with obstructive colorectal cancer.It can reduce the stoma rate,improve the first stageanastomosis rate,reduce the negative impact on anal function,and accelerate the postoperatie recovery process of patients.
intestinal stent placementemergency surgeryobstructive colorectal cancer
NETL
NSTL
万方数据
