Abstract:
Objective To explore the safety and feasibility of using T-tubes in the surgery for locally advanced right-sided colon cancer invading the duodenum.
Methods The clinical data of 31 patients with locally advanced right-sided colon cancer invading the duodenum admitted from January 2021 to June 2024 were retrospectively analyzed. The perioperative conditions and postoperative complications of the patients were recorded and analyzed. The 1-year overall survival rate and disease-free survival rate were estimated using the Kaplan-Meier method, and the 95% confidence interval was calculated using the Greenwood formula.
Continuous variables were expressed as (
±
s) or median (IQR).
Results The average operation time was (200 ± 14.2) minutes, the intraoperative blood loss was (100.6 ± 14.1) ml, 2 patients underwent liver resection simultaneously, and 3 patients received blood transfusion during the operation. Postoperatively, 1 case of delayed gastric emptying occurred, 2 cases of intestinal obstruction, and 1 case of incision infection. All were cured and discharged after conservative treatment. The median postoperative T-tube removal time was 18 (16, 23) days, the median postoperative first rectal gas passage time was 4 (3, 5) days, the median postoperative recovery time for liquid diet was 15 (13, 20) days, the median postoperative hospital stay was 21 (18, 26) days, and the hospitalization cost was (103 791.5 ± 6 817.2) yuan.
Conclusion In strict patient selection, this technique is safe and feasible, providing an effective option for preventing duodenal fistula.
Key words:
Right-Sided Colon Tumor,
Hepatic Flexure Colon Cancer,
Hepatectomy,
Duodenal Invasion,
T-tube
Shuo Zhou, Xinhao Zhang, Maorun Zhang, Xiaoming Gu, Junmin Song. The application of T-needle in the surgery for local advanced right hemicolectomy with duodenal involvement: a case analysis of 31 patients[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2026, 20(06): 537-540.