Objective To investigate the clinical value of complete mesorectal excision in patients with sigmoid colon cancer and intestinal obstruction.Methods From January 2012 to December 2016, 65 patients with sigmoid colon cancer who underwent sigmoid colon resection in First People's Hospital of Wuhu City were enrolled in this study. The patients were divided into observation group (33 cases) and control group (32 cases). The former received complete mesorectal excision and the latter conventional sigmoid colon resection. Then the surgical safety indexes, resection specimens and survival rates were compared between the two groups.Results The two groups had statistically significant differences in operation time (P<0.05), while intraoperative blood loss, amount of postoperative albumin, postoperative anal exhaust time, postoperative eating time, postoperative complications showed no significant difference between the two groups (P>0.05). In the resection of intestine length and the number of lymph nodes dissected, the length of excision intestine in observation group was significantly longer than that in control group. The total number of lymphaden nodes in observation group was significantly larger than that in control(P<0.05). However, there was no significant difference between the two groups in the intestine circumferential width of tumor infiltration, the length of intestine infiltration and the number of positive lymph node dissection (P>0.05). Postoperative follow-up, the cumulative survival rate and cumulative tumor-free survival rate in observation group were higher than those in control with statistically significant difference(P<0.05).Conclusions Compared with the conventional resection of sigmoid colon, the complete colon mesenteric surgery in the treatment of sigmoid colon cancer with intestinal obstruction for patients may last for a long time, but it is still worth the clinical application due to its safety, reduced recurrence rate and elevated survival rate. |