Abstract:
Objective To explore the clinical application of colonic endoscopic stent implantation and to improve the success rate of implantation and reduce complications by refining the operation.
Methods Data of 26 patients with colon cancer complicated by obstruction diagnosed and treated from January 2016 to August 2017 in our hospital were collected, both via endoscopic stent placement under X-ray fluoroscopy.The obstructions were successfully removed for subsequent treatment.
Results Twenty-five patients were successfully put into the stent under endoscope, and the symptoms of obstruction were effectively alleviated or disappeared.The patients had no stent loss, intestinal perforation, bleeding and other complications.The intestine of one patient failed to pass the stent implantation because of a complete obstruction of the intestinal tract.In the 19 cases, patients with a laparoscopic radical resection of colon cancer were performed on 7-10 d after laparoscopic surgery, and 6 patients were treated with permanent stents for nonsurgical resection of the tumors.
Conclusion Preoperative careful preparation and intraoperative careful operation of endoscopic stent implantation can effectively avoid the complications, making chances for further surgical treatments, improving postoperative survival rate and patients’ quality of life.
Key words:
Colon cancer,
Intestinal obstruction,
Endoscope,
Stent,
laparoscope
Xiaojing Li, Junwei Song, Yujun Zhang, Yu Chen, Shiqing Wang. The clinical application and refinement operation of endoscopic stent implanation for colonic carcinoma complicated with intestinal obstruction[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2018, 05(01): 29-32.