Evaluation of clinical courses of patients with left obstructive colorectal cancer

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  • 左側閉塞性大腸癌症例の臨床経過の検討
  • 臨床経験 左側閉塞性大腸癌症例の臨床経過の検討
  • リンショウ ケイケン ヒダリガワ ヘイソクセイ ダイチョウガン ショウレイ ノ リンショウ ケイカ ノ ケントウ

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Abstract

Objective/Methods : To evaluate treatment and prognosis of obstructed left side colorectal caner in our institute. We reviewed 28 cases (Emergency group ; 13 cases, and Elective group ; 15 cases) to evaluate the clinico-pathological factors.<BR>Results : The incidence of diverting stoma was significantly smaller in the Elective group (40.0%) than in the Emergency group (92.3%). Length of postoperative hospital stay, curability, post-operative complications and overall survival rates did not significantly differ between the two groups. The incidence of complications significantly increased among patients in the Elective group who received decompression for periods longer than 13 days. Patients whose modified Glasgow Prognostic Score (mGPS) was zero point upon admission had a significant better prognosis (mGPS0 : 100%, mGPS1 & mGPS2 : 52.7%, p=0.0492).<BR>Conclusion : In patients who do not need to receive emergent surgery for obstructed left side colorectal caner, decompression with an ileus tube might avoid diverting stoma. However, it is necessary to consider the decompression period to avoid complications. The mGPS on admission was likely to predict the patients' prognosis of obstructive colorectal caner.

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