结肠癌致肠梗阻的外科治疗(附62例报告)  

Surgical treatment of ilius caused by colon carcinoma (a report of 62 cases)

作　　者：张辉民[1] 黄文涛[1] 马日新[1] 陈晓明[1] 

机构地区：[1]广东省江门市人民医院外科一区,广东江门529000

出　　处：《现代肿瘤医学》2004年第3期218-219,共2页Journal of Modern Oncology

摘　　要：目的　探讨结肠癌致肠梗阻的外科处理方法。方法　分析我院 1998～ 2 0 0 2年间 6 2例结肠癌致肠梗阻的外科治疗资料。结果　 6 2例病人中 ,10例Ⅰ期行右半结肠切除 ;2例Ⅰ期行右半结肠及横结肠切除 ;4例Ⅰ期行横结肠癌切除 ;18例I期行左半结肠切除 ,近端结肠造瘘 ,半闭远端结肠 ;2 4例I期行左半结肠切除并结肠吻合术。围手术期死亡率 1 6 % (1/6 2 )。术后并发症发生率 11 3% (7/6 2 )。结论　重视围手术期的处理和选择合适手术方式是减少并发症、提高疗效的关键。Objective To study the surgical treatment of ilius caused by colon carcinoma.Methods Retrospective analysis of the experience of surgical treatment for ilius caused by colon carcinoma in 62 patients from 1998 to 2002 was performed.Results In 62 patients,the right hemicolectomy was performed in 10 patients;the right hemicolectomy and the transvercolectomy was performed in 2 patients;the transvercolectomy was performed in 4 patients;left hemicolectomy with proximal colon fistulization was performed in 18 patients;left hemicolectomy including primary anastomosis was performed in 24 patients.The perioperative mortality rate was 1.6%(1/62).The postoperative complication rate was 11.3%(7/62).Conclusion Perfect perioperative management and selecting rational coletomy is important for reducing both complication and mortality rate.

关 键 词：结肠癌 肠梗阻 外科治疗 

分 类 号：R735.35[医药卫生—肿瘤]