Analysis of the diagnosis and treatment of 2 cases of sigmoid colostomy necrosis after laparoscopic radical resection of rectal cancer

doi:10.3877/cma.j.issn.1674-6899.2020.05.010

Abstract

Abstract:

Objective

To investigate the causes and management strategies of sigmoid colostomy necrosis after laparoscopic radical resection of rectal cancer.

Methods

The clinical data of 2 patients who underwent laparoscopic abdominoperineal resection of rectal cancer from May to Jun. 2020 were retrospectively analyzed. One patient underwent local anesthesia in the early stage of necrosis of the colostomy, then removed the suture around the colostomy and pull the the colon out the abdominal cavity for sigmoid colostomy in situ, the other underwent conservative treatment such as hot compress, dressing change, drainage and cutting of necrotic intestinal wall after intermittent removal of subcutaneous suture line around the colostomy.

Results

The re-ostomy under local anesthesia were well healed, the mucous membrane was ruddy, defecation was smooth, and the patient was discharged 1 week later. The sigmoid colostomy of the conservatively treated patient healed with upper margin mild invagination and stenosis and the patient was discharged on 28 days.

Conclusions

It is a positive and feasible treatment to re-ostomy under local anesthesia in the early stage of sigmoid colostomy necrosis to abdominal wall.

Key words: Laparoscopic, Rectal cancer postoperative, Colostomy necrosis, Re-ostomy

Xiaoqiang Shi, Tian Li, Weidong Pang. Analysis of the diagnosis and treatment of 2 cases of sigmoid colostomy necrosis after laparoscopic radical resection of rectal cancer[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2020, 13(05): 294-296.

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URL: https://zhqjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2020.05.010

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References 12

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