吻合器在结肠癌性梗阻一期手术中的应用

The application of stapler in obstruction colon cancer one-stage operation

目的对结肠癌性梗阻手术中应用吻合器的效果加以分析,了解其对患者结局的影响。方法选取33例结肠癌性梗阻患者,入院后行胃肠减压、纠正水和电解质紊乱以及酸碱平衡失调等准备后,早期预防性应用抗生素,根据术前准备情况尽早手术。术中探明结肠癌梗阻部位,在患者能耐受手术的前提下,确定手术方法及切除范围,采用吻合器吻合。结果 33例患者排空肠道内容物后,采用吻合器行一期吻合,无1例发生肠瘘。术后切口感染6例(18.18%),切口脂肪液化2例(6.06%),腹腔残余感染1例(3.03%),肺部感染2例(6.06%);平均住院19.7d。结论恰当选择适应证,运用吻合器对结肠癌梗阻患者进行治疗,可取得良好效果。

Objective To investigate the efficacy and impact on outcomes of using stapler for patients suffering colon cancer and undergone intestinal obstruction.Methods 33 cases patients with obstruction colon cancer were prepared by gastrointestinal decompression,replenishing,electrolyte and acid-base balance.Then all cases were administered with antibiotics for preventing infection.After above preparation,all patients were undergone operations according to their condition.The methods of surgical procedure and area of resection were decided by the location of colon cancer.Anastomosis was conducted by stapler.Results After emptied gut contents,one-stage operation were underwent by stapler,there was no intestinal fiscula observed.Postoperative wound infection 6 cases（18.18%）,fat liquefaction 2 cases（6.06%）,abdominal infection 1 cases（3.03%） and lung infection 2 cases（6.06%）.The average length of hospitalization was 19.7d.Conclusion Stapler is suitable for obstructive colon cancer in accordance with appropriate operative indication.