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大肠癌致肠梗阻的外科诊治 被引量:8

Surgical treatment of large bowel obstruction caused by colorectal carcinoma
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摘要 目的探讨大肠癌致肠梗阻的外科诊治方法。方法分析我院1996年至2006年间46例大肠癌致肠梗阻的外科诊治资料。结果 46例患者中行右半结肠一期切除吻合17例,横结肠癌切除一期吻合3例,行左半结肠一期切除吻合18例,行左半结肠及直肠上段癌切除近段结肠造口,关闭远段结肠或直肠备二期吻合4例,另有4例乙、直肠癌无法切除仅行造口术。吻合口漏2例(4.3%).围手术期死亡1例(2.1%)。结论重视大肠癌致肠梗阻的早期诊断,合理选择手术方式;做好围手术期处理是减少并发症及死亡率,提高疗效的重要措施。 Objective To study the surgical treatment of large bowel obstruction caused by colorectal carcinoma. Methods Retrospective analysis of the experience of surgical treatment of the large bowel obstruction caused by colorectal carcinoma in 46 patients from 1996 to 2006 was performed. Results In the 46 patients, the right hemicolectomy and anastomosis were performed in 17 patients, the transvercolectomy and anastomosis were performed in 3 patients, and the left hemicolectomy and anastomosis were performed in 18 patients;4 patients were subjected to the Hartmann operation, and sigmoidostomy was performed in 2 patients for thdr rectum carcinoma couldn't be resected. Anastomotic leakage occurred postoperatively in 2 patients (4.3 % ), and one case was dead perioperatively (2.1% ). Conclusion More attention should be paid to large bowel obstruction caused by colorectal carcinoma. Selecting rational colectomy and appropriate perioperative management is important for reducting both complications and mortality rate.
出处 《中国基层医药》 CAS 2007年第7期1101-1102,共2页 Chinese Journal of Primary Medicine and Pharmacy
关键词 大肠癌 肠梗阻 外科诊治 Colorectal carcinoma Large bowel obstruction Surgical treatment
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  • 1顾晋,于晓军,石劲松,冷希圣,祝学光.青年大肠癌与老年大肠癌的比较[J].普外临床,1995,10(1):51-53. 被引量:17
  • 2黄萃庭 费立民.急性肠梗阻[J].中华外科杂志,1956,4:3-11.
  • 3郁宝铭.结肠癌所致大肠梗阻[J].普外临床,1988,3:267-267.
  • 4吴阶平 袭法祖.黄家驷外科学(第5版)[M].北京:人民卫生出版社,1990.1100.
  • 5Hesterbrg R, Schinidt WU, Ohmannl A, et al. Risk of elective surgery of carcinoma in the elderly. Dig Surg, 1991,23 (8): 22-23.
  • 6Chaib E, Joniolo CH, Figueira NC, et al. Surgical treatment of in testinal obstruction. Arg Gastroenterol, 1990,27:182-186.
  • 7Golub R, Golub RW, Cantu RJR, et al. A multivaritate analysis offactors contributing to leakage of intestinal anastomoses. Jam Coil Surg,1997,184: 364-372.
  • 8Stewart J,Diament RH,Brennan TG. Management of obstructing lesions of the left colon by resection,ontable lavage ,and primary anastomosis. Surygery, 1993,114: 502-505.
  • 9Fuzun M, Kaymak E, Astarcioglu K,et al. Principal causes of mechanical bowel obstruction in surgically treated adults inWestern Turkey. Br J Surg, 1991,78:202.
  • 10McEntee G, Pender D, Mulvin D, et al. Current spectrum of intestinal obstruction.Br J Surg, 1987, 74: 976-980.

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