急性梗阻性大肠癌的外科治疗

SURGICAL TREATMENT OF ACUTE OBSTRUCTIVE CARCINOMA OF LARGE INTESTINE

由于大肠的解剖及生理特点,一旦发生大肠癌致急性梗阻,急诊手术时处理比较困难.对该病的处理应注意:①抗菌药物在急性梗阻性大肠癌中的应用;②梗阻上段肠内容物的清除;③结肠一期切除或扩大的右半结肠切除术;④分期手术;⑤腹壁结肠造口方法的改进.

The incidence of acute obstruction caused by carcinoma of lage intestine is in-creasing. It is rather difficult to deal with such acute obstruction during emergehcy operation, be-cause of the anatomical and physiological characteristics of the large intestine. Malters needing at-tention in the treatment of this complication are as follows: ①applicaltion of antibiOtics in acuteobstructive large intestinal cancer;②clearance of the contents in the proximal part of the obstruc-tion; ③primary colectomy or extended hemicolectomy;④operation by stages;⑤modification ofcolostomy.