Abstract:Objective:To analyze the outcome of patients with acute obstruction of left colorectal cancer treated by modified antegrade colonic lavage with primary tumor resection and anastomosis.
Methods :From April 2002 to April 2007, 112 patients with acute obstruction of left colorectal cancer underwent surgery. During the operation the left colon was exteriorized and placed into a sterilized plastic bag to protect the surgical field from contamination, then a catheter was inserted via the appendix, and after antegrade colonic lavage, primary resection and anastomosis was performed.
Results:Tumor resection and primary anastomosis was successfully done in the 112 cases. Postoperatively, 1 case had anastomotic leak which healed after reoperation with proximal colostomy, and one patient died.
Conclusions:Modified antegrade colonic lavage is a simple procedure, the bowel can be rapidly decompressed with essentially no contamination, and has a high level of bowel cleansing. It is possible to safely perform primary resection and anastomosis for left colon cancer after the modified antegrade lavage.