摘要
目的探讨结直肠癌并发急性肠梗阻的外科治疗方法及效果。方法回顾性分析1993年7月至2003年7月间297例结直肠癌并发急性肠梗阻行急症手术治疗患者的临床资料。结果右半结肠癌并梗阻103例,左半结肠癌和直肠癌并梗阻194例。其中一期切除吻合126例(右半结肠一期切除吻合98例,左半结直肠一期切除吻合28例),全结肠切除或次全切除吻合者108例,Hartmann手术36例,Dixon手术9例,回乙状结肠或回直肠吻合捷径11例,肿瘤近端肠管造瘘7例。术后出现并发症53例(17.8%),为切口感染、腹腔感染和肠瘘;死亡17例;280例(94.3%)痊愈出院。结论一期切除吻合和结肠次全切除及全切除吻合手术治疗结直肠癌并发急性肠梗阻,是方便可行而安全有效的。
Objective To evaluate surgical treatment of obstructing colorectal cancer. Methods From July 1993 to July 2003,clinical data of 297 cases undergoing emergency operation for obstructing colorectal cancer were analyzed retrospectively. There were 103 cases with right sided lesion and 194 cases with left sided lesion. Results All patients received emergency operation. StageⅠtumor resection and anastomosis were performed in 126 patients including 98 cases with right sided lesion and 28 with left sided lesion,total or subtotal colectomy in 108,Hartmann operation in 36,Dixon operation in 9,ileocolic anastomosis in 11,and colostomy in 7 cases. Postoperative complications occurred in 53 cases(17.8%) including incision infection,intraperitoneal infection and intestinal fistula. There were 17 perioperative deaths. Two hundred and eighty cases healed (94.3%). Conclusion StageⅠtumor resection and anastomosis and total or subtotal colectomy are feasible and safe surgical procedures for obstructing colorectal cancers.
出处
《中华胃肠外科杂志》
CAS
2005年第1期41-42,共2页
Chinese Journal of Gastrointestinal Surgery
