摘要
目的 :探讨结直肠癌致急性肠梗阻的外科处理方法。方法 :回顾性分析 1991年 1月至 2 0 0 1年 6月手术探查的急性肠梗阻病例中 73例结直肠癌性梗阻的外科处理。结果 :行 期切除术 6 1例 ,占 83.6 % (6 1/ 73) ,同时 期吻合 4 9例 ,占 80 .3%(49/ 6 1) ,其中左半结肠及直肠肿瘤占 4 4 .9% (2 2 / 4 9)。 72例痊愈出院。术后死亡 1例 ,吻合口瘘 1例。结论 :即便为术中确诊的结直肠癌性急性肠梗阻 ,也应积极争取手术 ,只要适应证掌握恰当 ,
Objective:To probe the surgical management of acute colon obstruction caused by colorectal cancer Methods:We analyzed respectively the surgical management of 73 cases of acute colon obstruction caused by colorectal cancer Results:Among the 73 cases of acute colon obstruction, there are 61 patients(83 6%) who underwent single stage resection and 47 patients(80 3%) who underwent primary anastomosis synchroneously with one patient died postoperatively and anastomosis fistula respectively Conclusion:For those patients who are confirmed that all the indications are dealt with properly, the single stage resection and anastomesis are safe and reliable
出处
《大肠肛门病外科杂志》
2002年第3期165-167,共3页
Journal of Coloproctological Surgery
关键词
结肠癌
直肠癌
肠梗阻
外科治疗
Colonic cancer
Rectal cancer
Coloinc obstruction
Curgical management
