摘要
目的探讨大肠癌致肠梗阻的外科治疗方法。方法回顾性分析该院2005~2008年34例大肠癌致肠梗阻病例的临床治疗资料。结果34例患者中,一期行右半结肠切除10例、横结肠切除1例、左半结肠切除5例、乙状结肠切除6例;Hartemman术式3例;肿瘤无法切除行短路手术2例、单纯造瘘术7例。结论一期切除吻合手术治疗大肠癌致肠梗阻是可行的,而合理地选择手术方式,正确的术中操作和围手术期处理对提高疗效,减少并发症十分重要。
[ Objective ] To study the surgical treatment of intestinal obstruction caused by colorectal carcinoma. [Methods] Retrospective analysis of the experience of surgical treatment for intestinal obstruction caused by coloreetal carcinoma in 34 patients from 2005 to 2008 was performed. [ Results ] Ten patients received one-stage right hemieolectomy, one patient received one-stage resection of transverse colon, five patients received one-stage left hemicolectomy, six patients received one-stage resection of sigmoid colon; three patients received hartemman. Anastomosis of ileum and tranaverse colon 2 cases, colon fistula 7 cases. [ Conclusion ] One stage resection and anastomosis is a feasible operation for intestinal obstruction caused by colorectal carcinoma. Appropriate choice of the operative procedure, skillful operative technique and prudential perioperative treatment are important for better results and lower complications.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2009年第21期3309-3310,3313,共3页
China Journal of Modern Medicine
关键词
大肠癌
肠梗阻
外科治疗
eoloreetal carcinoma
intestinal obstruction
surgical treatment