大肠癌并发急性肠梗阻的一期切除吻合

Single-stage resection and anastomosis surgical treatment of acute colon obstruction caused by colorectal cancer

目的 :探讨大肠癌并发急性肠梗阻一期切除吻合手术方法的合理性和安全性。方法 :回顾总结我院自 1990年 1月至 2 0 0 0年 6月采用一期切除吻合手术治疗并发急性肠梗阻的大肠癌 32例。结果 :右半结肠癌 6例 ,左半结肠直肠癌 2 6例。术后发生吻合口漏 1例 ,占全组 3 16 % ,占左半结肠直肠病例的 3 85 %。无手术死亡。结论 :只要正确掌握手术适应证 ,术中做到“上空、口松、下通”正确吻合 ,并加强围手术期的治疗护理 ,一期切除吻合手术治疗并发急性肠梗阻的大肠癌是安全可行的。

Purpose:To evaluate the safety and feasibility of single-stage resection and anastomosis of acute colon obstruction caused by colorectal cancer.Methods:Data of 32 above cases in our hospital from 1990 Jan to 2000 June were analysed retrospectively. Results:Total of 32 patients included 6 cases of right colon cancer and 26 cases of left-rectal colon cancer underwent surgical teratment. Only one anastomosis leak occured (3.16% in the total of 32 cases and 3.85% in left-rectal colon cancer cases). No cases died. Conclusions:If appropriate surgical treatment is given and accompanyed by strict nursing care post-operatively, the single-stage resection and anastomosis is safe and suitable.