老年结直肠癌并肠梗阻的外科治疗(附112例报告)

The surgical treatment of acute obstruction in colorectal carcinoma:a report of 112 cases

目的探讨老年结直肠癌并肠梗阻的外科治疗有关问题。方法回顾性分析1991年1月至2011年1月间112例老年结直肠癌并急性肠梗阻外科处理的临床资料。结果术后痊愈出院109例,死亡3例,围手术期并发症43例(38.4%)。结论老年结直肠癌并急性肠梗阻一经确诊,应积极争取手术,术式选择应根据患者具体病情决定。完善围手术期处理,是降低术后并发症和病死率的关键。

Objective To discuss the surgical treatment of acute obstruction by colorectal carcinoma in the elderly.Methods 112 cases with acute obstruction by colorectal carcinoma received surgical treatment were analyzed retrospectively from January 1991 to January 2011,.Results Of all 112 cases,94 received complete resection,and the resection rate was 83.9%.3 cases received shortcut operation,15 cases received simple colostomy.All cases were proved by pathologic data.There were 43 cases having all kinds of complication in perioperative period（38.4%.Conclusion Positive operation should be taken when the diagnosis of acute obstructing colorectal carcinoma in the elderly is made.The operative method depended on the patients＇ conditions.We believed it is important to enhance perioperative management of acute obstructing colorectal carcinoma in the elderly for decreasing mortality and complications.