Clinical Efficacy of Transnasal Intestinal Obstruction Catheters in Patients with Right colon Cancer and Acute Intestinal Obstruction

Objective To evaluate the efficacy of laparoscopic right hemicolectomy following nasojejunal decompression in patients with right hemicolonic cancer complicated by intestinal obstruction. Methods A retrospective analysis was conducted on 56 patients with right hemicolonic cancer and acute intestinal obstruction admitted to our hospital. Thirty-two patients underwent laparoscopic-assisted right hemicolectomy after nasojejunal tube decompression (study group), while 24 patients underwent conventional open right hemicolectomy (control group). The two groups were compared in terms of operative time variation, intraoperative blood loss, number of lymph nodes dissected, time to first flatus, length of hospital stay, and postoperative complications. Results The baseline characteristics of patients in both the study group and control group were comparable. Compared with the control group, the study group exhibited lower intraoperative blood loss (t=-7.673, P < 0.001), faster postoperative anal gas passage time (t=-3.796, P < 0.001), and longer operative duration (t = 4.350, P < 0.001). 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 > 0.67) or length of hospital stay (t = 0.821, P > 0.41). The incidence of early postoperative complications was 3.13% and 29.16%, respectively, with no statistically significant difference (P < 0.004).Conclusion: For patients with right-sided colon cancer complicated by acute intestinal obstruction, performing laparoscopic-assisted right hemicolectomy with primary intestinal anastomosis within a limited timeframe following nasojejunal tube placement for intestinal decompression effectively addresses the issue of limited operative space during laparoscopy. This approach demonstrates clinical value in reducing intraoperative bleeding, promoting postoperative gastrointestinal function, and decreasing postoperative complications.