Nd-YAG laser therapy for palliation of obstructed colorectal carcinomas

Indian J Cancer. 1994 Dec;31(4):240-3.

Abstract

Twenty three cases of colorectal carcinoma with partial or complete obstruction were managed by laser ablation of tumour tissue. There were 14 males and 9 females with a mean age of 63 years (30-87). Nineteen cases (82.6%) were in the rectosigmoid while two cases each were in the anal canal and descending colon. Fifteen (65.2%) were proliferative growths and the remaining (8, 34.7%) were circumferential growths. Prior dilatation under fluoroscopic control was done where required. Lumen was achieved in a single sitting in 14 (60.8%) cases, while in the others two to five sittings were required. None of the patients required colostomy. Thirteen (56.5%) of these patients have died during the follow up period, lasting from 4 to 27 months (mean 10.4 months). There were no major complications related to the procedure.

Publication types

  • Comparative Study

MeSH terms

  • Adenocarcinoma / complications
  • Adenocarcinoma / surgery*
  • Adenocarcinoma, Mucinous / complications
  • Adenocarcinoma, Mucinous / surgery
  • Adult
  • Aged
  • Aged, 80 and over
  • Colorectal Neoplasms / complications
  • Colorectal Neoplasms / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Intestinal Obstruction / etiology*
  • Laser Coagulation*
  • Male
  • Metronidazole / therapeutic use
  • Middle Aged
  • Neoplasm Metastasis
  • Postoperative Care
  • Recurrence
  • Time Factors

Substances

  • Metronidazole