A CLINICAL STUDY OF SECOND-LOOK OPERATIONS AIMED AT INTESTINAL CONTINUITY FOR OBSTRUCTIVE COLON CANCER MANAGED WITH THE HARTMANN OPERATION

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  • Ｈａｒｔｍａｎｎ手術後，人工肛門閉鎖を目的に２回目手術を施行した閉塞性大腸癌症例の検討

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«Aim» We investigated the results of second-look operations aimed at achieving intestinal continuity after chemotherapy for obstructive colon cancer initially managed with the Hartmann operation.<BR>«Subjects·Methods» We studied 11 cases with obstructive colon cancer in which a second-look operation was performed with the aim of intestinal continuity. We performed second-look operations in cases without recurrence at the 6 month surveillance after the first operation.<BR>«Results» The colostomy could be closed in all cases, but we selected colo-anal anastomosis in 2 cases and ileo-anal canal anastomosis in 1 case. Diverting ileostomy was performed in 4 cases. Peritoneal dissemination was seen in 4 cases, but all were resectable. Postoperative complications were not serious. All cases remain alive without recurrence since the second-look operation.<BR>«Conclusion» It is important to clarify the aim of surgery and the timing of second-look operations.

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