大肠癌并发急性肠梗阻的外科治疗的探讨

Surgical treatment of acute intestine obstruction caused by large intestinal cancer

目的 探讨大肠癌并发急性肠梗阻的外科治疗方法。方法 回顾性分析我们收治的2 31例大肠癌并发急性肠梗阻病例 ,结合国内外文献 ,综合评价外科治疗方法。结果 一期左半结肠切除吻合术的手术病死率为 5 .1% ,吻合口瘘发生率为 5 .7%。结论 对左半结肠癌、直肠癌并发急性肠梗阻病人进行综合判定 ,掌握好适应证 。

Objective To evaluate the principle and method of surgical treatment of acute intestine obstruction caused by large intestinal cancer.Methods Data of 231 labove cases in our hospital were analyzed retrospectively.With a review of recent domestk and foreign literatures,surgical treatment method was comprehensively evalutae.Results Everyone of 231 cases underwent an operation,left half colorectal cancer was the sihgle stage and anastomosis operation mortality rate was 5.1%,anastomotic leakage was 5.7%.Conclusions To acute obstruction caused by left colon caner these patients was comprehensively evaluated if only and indication is appropriate,the single stage resection and anastomosis may be safe. [