Complete single-stage management of left colon cancer obstruction with a new device

• DOI: 10.1007/s00464-005-3000-6
• Publication Date: 2005-11-17T12:31:41Z
• Authors: J.-H. Kim; D.-H. Shon; S.-H. Kang; B.-I. Jang; M.-K. Chung; J.-H. Kim; M.-C. Shim
• Keywords: Adult; Aged, 80 and over; Male; Equipment Design; Middle Aged; 3. Good health; Colonic Diseases; 03 medical and health sciences; 0302 clinical medicine; Colonic Neoplasms; Humans; Female; Prospective Studies; Therapeutic Irrigation; Digestive System Surgical Procedures; Intestinal Obstruction; Aged

A newly developed device that enables easy intraoperative colonic irrigation and subsequent colonoscopy was introduced recently.To evaluate the efficacy of the single-stage procedure with a new device and the significance of on-table colonoscopy, 112 patients with obstructive left colon cancer were recruited.Primary anastomosis after tumor resection was performed in 104 cases. The volume of saline used for irrigation averaged 13.5 l over 12.1 min. Subsequent colonoscopic examination added an average of 10.4 min to the operative time. There were three anastomotic leaks, two wound infections, four acute renal failures, and two operative mortalities. On-table colonoscopy resulted in extended resection in 17 cases.The new device enabled safe, simple, and time-saving, single-stage surgical management of left colon cancer obstruction. The ability to perform on-table colonoscopy enabled treatment and recognition of synchronous bowel pathology.