Tạp chí Y học Thành phố Hồ Chí Minh, 9(4):229. DOI
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Lê Tuyết Trâm, Nguyễn Văn Hải
The authors reviewed charts of 53 patients who had resectable obstructed colorectal carcinoma admitted from January 1999 to June 2004. One-stage operation was performed in 34 patients (group 1) while multi-stage operation (at least the first stage) was performed in 19 patients (group 2). By comparision, the authors recognized that the only factor concerned with the choice of procedure was comorbidity. The mean operative time of one-stage operation was no longer than of the first stage of multi-stage operation (219.8 vs 178.6 minutes, p>0.05) while the mean hospital stay was shorter (13.3 vs 17.6 days, p<0.05). In patients who were treated with multi-stage operation, mean delay to the second procedure was 35.5 days. Mortality was nil and there was no significant difference in morbidity between two groups. So, with carefully selected patients, one-stage operation is feasible, safe and effective for treatment of resectable obstructed colorectal carcinoma.
