What question did this study set out to answer?

This research aims to assess the feasibility and short-term efficacy of laparoscopic surgery for colon cancer cases with acute intestinal obstruction.

July 16, 2026Open Access

Clinical efficacy of laparoscopic surgery following intestinal decompression in patients with right hemicolonic cancer and acute intestinal obstruction

JMJingyou MaHebei Medical University JZJinpeng ZhenHebei Medical University NYNingbao YangHebei Medical University

Key Points

This research aims to assess the feasibility and short-term efficacy of laparoscopic surgery for colon cancer cases with acute intestinal obstruction.
Retrospective analysis of 56 patients with right-sided colon cancer and intestinal obstruction
32 patients underwent laparoscopic-assisted right hemicolectomy after nasojejunal tube decompression
Comparison of operative time, blood loss, and postoperative outcomes between laparoscopic and open surgery groups.
Laparoscopic group had less intraoperative blood loss (t = −7.673, P = 0.000)
Faster postoperative gas passage in laparoscopic group (t = −3.796, P = 0.000)
Significantly lower postoperative complications in laparoscopic group (3.13% vs. 29.16%, P = 0.004)

Abstract

To investigate the feasibility and short-term efficacy of laparoscopic-assisted right hemicolectomy following nasojejunal tube decompression for right hemicolonic cancer complicated by acute intestinal obstruction. A retrospective analysis was conducted on the clinical data of 56 patients with right-sided colon cancer complicated by acute intestinal obstruction admitted to the Department of Gastrointestinal Surgery at Xingtai Central Hospital from January 2020 to December 2024. Among them, 32 patients underwent laparoscopic-assisted right hemicolectomy after nasojejunal tube decompression (study group), while 24 underwent conventional open right hemicolectomy (control group). The two groups were compared regarding changes in operative time, intraoperative blood loss, number of lymph nodes dissected, time to first flatus, length of hospital stay, and postoperative complications. The baseline characteristics of patients in the study group and control group were comparable. Compared with the control group, the study group had less intraoperative blood loss ( t = − 7.673, P = 0.000), faster postoperative anal gas passage ( t = − 3.796, P = 0.000), and longer operative time ( t = 4.350, P = 0.000). There were no statistically significant differences between the study and control groups in terms of the number of lymph nodes removed ( t = 0.423, P = 0.674) or length of hospital stay ( t = 0.821, P = 0.415). The incidence of early postoperative complications was 3.13% in the study group and 29.16% in the control group, representing a statistically significant difference ( P = 0.004). For patients with right-sided colon cancer complicated by acute intestinal obstruction, performing laparoscopic-assisted right hemicolectomy within a limited timeframe following nasojejunal tube placement for intestinal decompression effectively resolves the issue of limited operative space during laparoscopy. Compared with emergency open surgery, laparoscopic-assisted right hemicolectomy following bowel decompression offers advantages in reducing intraoperative blood loss, promoting postoperative gastrointestinal recovery, and decreasing postoperative complications.

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