自闭转流性肠造口技术在结直肠癌手术中的应用

Application of Enterostomy with Wound-self Closure and Trans-drainage Function to Surgery for Colorectai Carcinoma

为探讨自闭转流性肠造口技术在结直肠癌手术中的应用效果，回顾分析术中行自闭转流性肠造口的63例患者资料，其中15例为左半结肠、直肠癌并发急性肠梗阻行一期切除吻合者，48例为低位直肠癌前切除术者。结果显示，63例患者均顺利完成一期切除吻合，术后无切口感染、吻合口漏，无回肠不能再通情况，术后造口管脱落1例。结果表明，左半结肠、直肠癌合并急性肠梗阻一期切除吻合及低位直肠癌前切除术中行自闭转流性肠造口，可提高结直肠癌一期手术成功率，有效避免吻合口漏等并发症的发生。

In order to investigate the application efficacy of the procedure （i. e enterostomy with wound-self closure and trans-drainage function） to surgery for colorectal carcinoma,author retrospectively analyzed the data of 63 patients who received the procedure during surgery,included 15 cases had been subjected to primary resection and anastomosis for their left-colon, rectal carcinoma associated with acute intestinal ob struction,48 cases to anterior resection for their low rectal carcinoma. As results,on 63 cases were all performed primary resection and anastomosis smoothly, after surgery no incision infection, anastomotic leakage were found,and without that ileum could not be of repatency, only one case was suffered from postoperative exuviation of neostomy tube. Results show that for above mentioned two conditions during surgery taking the procedure can lift success rate of primary operation for colorectal carcinoma,and effectively pre- vent from incidence of complication such as anastomosis leakage, etc.