结直肠癌伴急性梗阻的外科处理  

Surgical Treatment in Colorectal Cancer with Acute Obstruiction

作　　者：唐洪海[1] 谢方利[1] 陈志刚[1] 

机构地区：[1]安徽省淮北市人民医院普外科,淮北235000

出　　处：《实用中西医结合临床》2004年第4期6-7,共2页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨结直肠癌伴急性梗阻的外科处理方法.方法:回顾性分析1995～2003年间32例结直肠癌伴急性肠梗阻的外科治疗资料.全组32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,30例(93.4%)恢复顺利,康复出院.结论:重视围手术的处理,根据结直肠癌伴急性梗阻病人全身情况和局部条件合理选择手术方式.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 1995.1-2003 were analysed retrospectively,of which ,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 . Result: 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. Rational colectomy should be selected according to the general condition of the patient, the local conditions of the lesion.

关 键 词：结肠癌 直肠癌 梗阻 外科治疗 

分 类 号：R735.3[医药卫生—肿瘤]