Early Ileus as Postoperative Complication of Colorectal Cancer.

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  • Sawada T.
    Department of Gastrointestinal Surgery, Toranomon Hospital
  • Hayakawa T.
    Department of Gastrointestinal Surgery, Toranomon Hospital
  • Tutumi K.
    Department of Gastrointestinal Surgery, Toranomon Hospital
  • Udagawa H.
    Department of Gastrointestinal Surgery, Toranomon Hospital
  • Turumaru M.
    Department of Gastrointestinal Surgery, Toranomon Hospital

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  • 大腸癌術後合併症としての早期イレウスについて

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Of the 1845 cases who received laparotomy for colorectal cancer, early ileus was found in 170 (9.2%) cases within two months after the operation. They were 36 (21.2%) cases with superior mesenteric artery syndrome (SMAS) and 134 (78.8 %) cases with non-SMAS (common ileus). Factors related to incidence of early ileus were the rectum in location, curability A in curability, D3 dissection in ranges of dissection, and rectal amputation in operative procedure.<BR>Of the cases who had early ileus, 151 (88.8%) cases received conservative treatment, and 19 (11.2 %) of these cases required reoperation. In the conservative cases, the preventing periods of oral intake were 18.0 days for cases with SMAS and 7.1 days for cases with non-SMAS. In the reoperatioe cases, the periods until reoperation were significantly different between the cases with SMAS (22.2 days) and those with non-SMAS (12.1 days). Moreover, there was no significant difference in prognosis between the cases with and without ileus. No relation to their prognosis was found.<BR>Therefore, SMAS should be kept in mind in addition to common ileus based on the diagnosis and treatment of early ileus as a postoperative complication of colorectal cancer.

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