M. Saku et al., SUCCESSFUL ONE-STAGE OPERATION FOR COMPLETELY OBSTRUCTIVE COLORECTAL-CARCINOMA, SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY, 25(3), 1995, pp. 284-286
We describe herein a new and successful method of performing a safe an
d steady one-stage operation for completely obstructive colorectal car
cinoma. First, a long ileus tube is utilized to decompress the dilated
proximal bowel preoperatively and irrigate the feces-loaded colon int
raoperatively, Following this procedure, a standard resection with rad
ical lymph node dissection is carried out without a diverting colostom
y, We performed this procedure successfully in seven patients, none of
whom developed any anastomotic leakage.