老年左半大肠癌并发急性肠梗阻一期手术治疗体会

Experience on One-stage Surgical Treatment for Elderly Left Obstructive Colorectal Carcinoma Complicated with Acute Intestinal Obstruction

目的总结老年左半大肠癌并发急性肠梗阻一期手术治疗的体会。方法回顾性分析31例老年左半大肠癌并发急性肠梗阻的临床资料。结果本组31例行一期肠切除吻合25例,行姑息性结肠造口2例,另4例经肛门插入型肠梗阻导管减压去污后行一期手术。术后切口感染2例,无吻合口瘘发生,无手术死亡病例。结论老年左半大肠癌并发急性肠梗阻治疗中,选择性一期肠切除吻合术是安全可行的;经肛门插入型肠梗阻导管结肠减压,灌洗去污是对一期肠切除吻合术的有效补充。

[Objective]To summarize the experience on one-stage surgical treatment for elderly left obstructive colorectal carcinoma complicated with acute intestinal obstruction.[Methods]The clinical data of 31 cases of elderly left obstructive colorectal carcinoma complicated with acute intestinal obstruction were analyzed retrospectively.[Results]Among 31 cases,25 cases were given one-stage intestinal resection and anastomosis,2 cases accepted palliative colostomy,and 4 cases were treated with one-stage surgery after alleviating the bowel pressure by drainage pipes.After operations,incision infection was found in 2 patients,there was no anastomotic leakage and death case.[Conclusion]The one-stage intestinal resection and anastomosis in the treatment of elderly left obstructive colorectal carcinoma complicated with acute intestinal obstruction is safe and feasible.The colonic decompression with transanal ileus tube,lavage and decontamination is an effective supplement for one-stage intestinal resection and anastomosis.