摘要
目的:探讨左半结肠癌致急性肠梗阻手术方式选择及围手术期处理。方法:收治左半结肠癌致急性梗阻患者23例,回顾性分析病历资料。结果:Ⅰ期肠切除吻合17例,Ⅰ期肠切除近端造口,Ⅱ期闭瘘5例,姑息性肠造口1例。术后切口感染2例,无吻合口漏,未有围手术期死亡病例。结论:左半结肠癌致急性肠梗阻应根据患者具体情况决定急诊手术处理方式,对于大部分选择适当的患者严格的手术操作及恰当的围手术期处理,Ⅰ期切除吻合是安全可行的。
Objective：In this paper,we study the modus operandi and perioperative care for left half colon cancer induced acute intestine obstruction.Methods：Twenty three such cases,operated at the Department of General Surgery Suzhou Municipal Hospital between May 2007 and June 2011,were reviewed and analyzed.Results：One stage intestinal resection and anastomosis was applied in 17 cases.Five patients were treated by one stage intestinal resection proximal end colostomy and two stage fistula closure.The palliative enterostomy was applied to one patient.Two cases exhibited incision infection after surgery.There was no anastomotic leakage.Conclusion：It depends on patients’specific situations to choose emergency operation treatment for left half colon cancer induced acute intestine obstruction.Given a strict operation and a proper perioperative care,one stage intestinal resection and anastomosis is safe and effective for most suitable patients.
关键词
左半结肠癌
肠梗阻
围手术期
Objective：In this paper,we study the modus operandi and perioperative care for left half colon cancer induced acute intestine obstruction.Methods：Twenty three such cases,operated at the Department of General Surgery Suzhou Municipal Hospital between May 2007 and June 2011,were reviewed and analyzed.Results：One stage intestinal resection and anastomosis was applied in 17 cases.Five patients were treated by one stage intestinal resection proximal end colostomy and two stage fistula closure.The palliative enterostomy was applied to one patient.Two cases exhibited incision infection after surgery.There was no anastomotic leakage.Conclusion：It depends on patients’specific situations to choose emergency operation treatment for left half colon cancer induced acute intestine obstruction.Given a strict operation and a proper perioperative care,one stage intestinal resection and anastomosis is safe and effective for most suitable patients.
