The Clinical Analysis of Colon Self-expanding Metal Stents without Fluoroscopic Monitoring for theTransitional Treatment of Acute Obstruction in Colorectal Cancer Patients
LIU Qi,LU Tai-liang,DONG Hong-yu,FANG Zhi-xue,HUANG Xing,WU Jun-jie,HUANG Zhong-cheng
Abstract: ?Objective?To evaluate the efficacy and safety of colonoscopy guided placement of self-expanding metallic stents (SEMS) without fluoroscopic monitoring in the emergence management for acute malignant colorectal obstruction.Methods?Clinicaldata of 63 patients undergoing colonoscopy guided placement of self-expanding metallic stents without fluoroscopic monitoring for acute malignant colorectal obstruction between March,2014 and December,2017 were reviewed retrospectively.Results?The obstruction was located in the ascending colon andhepatic flexure(n=1),transverse colonic carcinoma(n=2),splenic flexure(n=6),descending colon(n=9),sigmoid(n=29),rectosigmoid junction and rectum(n=16) .Technical success was achieved in all the 63 patients (100%).Mean time of operation was (12.3±4.6)min(range,5～35min).One patientdied on the firstday after operation because of severe infection with electrolyte acid-base balancedisorder.The rest patients received liquiddiet on the secondday after operation,and the clinical symptoms were completely relieved within 2～4days.Colorectal cancer radical surgery was performed 2～3 weeks after the colon self-expanding metal stenting.Conclusions?Colonoscopy-guided placement of self-expandable metallic stents without fluoroscopic monitoring in emergence management for acute malignant colorectal obstruction is effective and safe.It is a useful transitional treatment for acute obstructive colorectal cancer from emergency operation to limited operation.
刘祺，卢太亮，董宏宇，房志学，黄兴，吴俊杰，黄忠诚. 非透视结肠自扩张金属支架置入过渡治疗急性梗阻性结直肠癌的临床分析[J]. 中国现代手术学杂志, 2018, 22(1): 1-5.
LIU Qi. The Clinical Analysis of Colon Self-expanding Metal Stents without Fluoroscopic Monitoring for theTransitional Treatment of Acute Obstruction in Colorectal Cancer Patients. Chinese Journal of Modern Operative Surgery, 2018, 22(1): 1-5.
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2018, Vol. 22 
