大肠癌致急性梗阻62例外科治疗体会

目的探讨大肠癌并梗阻的术式选择原则。方法通过回顾分析2005年3月至2008年3月62例大肠癌并急性梗阻患者的临床资料进行回顾性分析,评价外科治疗方法。结果本组共采用一期切除吻合49例(右侧23例,左侧26例),占本组79%。切口感染3例,吻合口瘘2例,死亡1例,病死率1.6%,1例死于多器官功能衰竭,术后肠梗阻再手术1例,其余病例术后痊愈出院。结论大肠癌并肠梗阻患者手术要根据其全身状况及肿瘤情况综合分析来决定手术方式,选择有条件的病例,经过充分的准备和适当的处理,一期切除吻合是安全可行的。

Objective To investigate the principle of operation selection.Methods A retrospective analysis was made of the data of patient with acute obstruction from March 2005 to March 2008,and then evaluated the sugical teatments.Results Stage I tumor resection and anastomosis were performed in 49 cases（79%） including 23 cases with right sided lesion and 26 with left sided lesion;3 cases of incision infection,2 cases of anastomose ora fistula,1 case（1.6%） died of multiple organ failure.1 case of reoperation,the others were healed well after operation.Conclusion The operation was selected according to conditions of the patients and tumor.The operation of stage I tumor resection and anastomosis is safe and feasible,when the conditions of patients and tumor are permitted,the preparation is adquate and the presurgical treatment is appropriate.