摘要
目的探讨大肠癌并发急性肠梗阻的外科治疗方法及疗效。方法大肠癌致急性肠梗阻178例,一期行右半结肠切除37例,一期行左半结肠切除80例,一期行结肠次全切除、回肠-乙状结肠(或直肠上段)吻合31例,一期行左半结肠或直肠上段癌切除,近端结肠造瘘、封闭远端结肠(或直肠)、二期吻合13例,结、直肠癌晚期无法根治切除者行结肠造瘘7例,短路手术10例。结果术后并发症发生率为13.5%(24/178),围手术期死亡率为4.5%(8/178)。结论大肠癌致急性肠梗阻的外科治疗应及时并遵循个体化原则,应创造条件力争一期切除肿瘤,解除梗阻。对左半结肠癌并发急性肠梗阻病人施行一期肿瘤切除吻合术是安全有效的,但应严格掌握适应证,灵活应用不同的手术方式。
Objective To investigate the surgical treatment for the obstructive colorectal carcinoma.Methods The clinical data was reviewed in 178 patients with the obstructive colorectal carcinoma.All of the 161 cases received resection operations,in whom 37 of one-stage right hemicolectomy,80 of one-stage left hemicolectomy,31 of one-stage subtotal colectomy followed by ileosigmoidostomy or ileoproctostomy,13 of first-stage resection of left hemicolectomy(or proximal rectum) with colostomy followed by second-stage an...
出处
《中国现代手术学杂志》
2009年第1期22-24,共3页
Chinese Journal of Modern Operative Surgery
关键词
结直肠肿瘤
肠梗阻
colorectal neoplasms
intestinal obstruction
