To compare the short-term clinical outcome of metal stent combined with laparoscopic surgery and emergency laparotomy in the treatment of colorectal cancer with the acute intestinal obstruction.

From January 2017 to March 2019, clinical data of 120 patients with colorectal cancer and acute ileus were analyzed retrospectively. According to the operation method, 120 patients divided into combined group (57 cases) and open group (63 cases). Statistical analysis were performed by using Spss19.0 software. The perioperative indexes were expressed as (±s) and were examined by using independent t-test. Complication rate and secondary operation rate were analyzed by using χ² test (P<0.05).

In the combined group, the operation time was (179.8±17.3) min, the postoperative anal exhaust time was (2.3±0.5) d, the postoperative hospitalization time was (7.3±1.9) d, which were shorter than (209.5±21.0) min, (4.6±0.8) d and (11.9±3.2) d in the open group respectively. The harvested lymph nodes of (16.7±2.1) in the combined group was more than (12.4±1.7) in the open group. The amount of intraoperative hemorrhage of (27.9±4.1) ml in the combined group was less than (75.5±9.3) ml in the open group, with statistically significant difference (P<0.05). There were 4 cases of colostomy in the combined group, then received secondary closure surgery. There were 17 cases of colostomy in the open group, then received secondary closure surgery. The incidence of complications in the combined group was 12.3% and secondary closure surgery rate of 7.0%, which were lower than 44.4% and 27.0% in the open group respectively(P<0.05).

Metal stent combined with laparoscopy is safe and feasible in the treatment of colorectal cancer with acute intestinal obstruction, and the short-term effect of radical operation is good, which could effectively reduce the secondary closure surgery rate.