Analysis of 30 cases of endoscopic stent implantation for left-sided obstructive colon cancer
Objective To investigate the therapeutic effect of endoscopic implantation of metal stents for left-sided obstructive colon cancer.Methods The clinical data of 30 cases of left-sided obstruc-tive colon cancer were retrospectively analyzed from October 2017 to December 2023.According to different surgical methods the patients were divided into study group(12 cases)and control group(18 cases).Patients in the study group received laparoscopic/open surgery after intestinal stent placement),and those in the control group received routine treatment.The therapeutic effect and complications of the two groups were compared.Results There was no significant difference in gender and age between the two groups(P＞0.05).The anastomosis rate of primary resection in experimental group was higher than that in control group[10/12(83.3％)vs.5/18(27.8％),F=-8.593,P＜0.01],and the enterostomy rate was low-er than that in control group[2/12(16.7％)vs.17/18(94.4％),F=18.131,P＜0.01].There was no significant difference in the rate of laparoscopic surgery between them[7/12(58.3％)vs.4/18(22.2％),F=3.908,P＞0.05].In terms of complications,the pulmonary complications in the test group were lower than those in the control group,with statistical significance[2/12(16.7％)vs.11/18(61.1％),F=5.599,P＜0.05].There was no significant difference between the two groups in perioper-ative perforation,incision complications and stomostomy complications[1/12(8.3％)vs.1/18(5.6％),F=0.086,P＞0.05;2/12(16.7％)vs.8/18(44.4％),F=2.417,P＞0.05;0/12(0.0％)vs.3/18(16.7％),F=2.418,P＞0.05].Conclusion The clinical effect and safety of intestinal stent im-plantation combined with laparoscopic/open surgery can improve the primary anastomosis rate and reduce the stoma rate.
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