急性梗阻性结直肠癌的外科治疗

Surgical Treatment in Colorectal Cancer with Acute Obstruction

目的 探讨急性梗阻性结直肠癌的外科处理方法。方法 回顾性分析 1995年～ 2 0 0 2年间 3 2例结直肠癌伴急性肠梗阻的外科治疗资料。全组 3 2例 ,I期行右半结肠切除 7例 ,I期左半切除吻合 6例 ,前切除 1例 ,I期左半结肠或直肠上段癌切除 ,近端结肠造口 ,关闭远端结肠或直肠 14例 ,转流捷径手术 1例 ,单纯结肠造口 3例。结果 吻合口漏 1例 ,围手术期死亡 1例 ,3 0例 (93 .4% )恢复顺利 ,康复出院。结论 重视围手术的处理 。

Objective To study the surgical treatment in acute obstructive colorectal cancer. Methods The experience of surgical treatment in 32 cases of acute obstructive colorectal cancer from 1995.1-2002.3 were analysed retrospectively , among them, 7 cases of the right hemicolectomy underwent resection, 7 cases of the left hemicolectomy underwent resection and anastomoses, 9 cases of the left hemicolectomy underwent primary resection and Hartmann colostomy, 5 cases to multi-stage operation, 1 case to by-pass procedures, 3 cases to simple colostomy. Results 1 case of anastomotic leakage, 1 case of death, and 30 of 32 cases (93.4%) were recovered triumphantly. Conclusions More attention should be paid to perioperative management. Effective colectomy should be selected according to the general condition of the patient, and the topical condition of the lesion.