梗阻性左半结肠癌手术治疗体会(附155例)  

Surgical Treatment of Obstructive Carcinoma of Left Colon:Report of 155 Cases

作　　者：王三明[1] 陈小东[1] 李震[1] 

机构地区：[1]广东医学院附属医院外科,广东湛江524001

出　　处：《海南医学》2005年第3期38-39,共2页Hainan Medical Journal

摘　　要：目的探讨梗阻性左半结肠癌的手术治疗方法,以提高该病的诊治水平。方法总结我院自1985年来手术治疗的梗阻性左半结肠癌临床资料,分析手术适应症与手术方式的选择与体会。结果本组97例患者痊愈出院;25例术中见肿瘤发生扩散而行姑息手术;28例患者二次手术时发现肿瘤已发生扩散,无法行根治切除术;2例发生吻合口瘘;围手术期死亡3例。随访121例,1、3、5年生存率分别为98%、70%、40%。结论选择适当的病例进行梗阻性左半结肠癌一期肿瘤切除加消化道重建是安全的。Objective To discuss the operational treatment of Obstructive Carcinoma of Left Colon. Methods 155 cases with Obstructive Carcinoma of Left Colon in our hospital since 1985 were reviewed to analyze the proper indication of the patients for operation and the choosing of the operational way. Results 97 cases in this group were healed. Radical resection couldn't be done in 25 cases because of detection of tumor proliferation during operation, and in 28 cases in secondary operation for the same reason. Anastomotic fistula was happened in 2 cases. 3 cases were dead during hospitalization. 121 cases were followed up, and their survival rates were 98%, 70%, 40% respectively? Conclusions On proper cases, it is safe to undergone resection of obstructive carcinoma of left colon plus alimentary tract reconstruction.

关 键 词：结肠肿瘤 肠梗阻 一期肿瘤切除 

分 类 号：R735.35[医药卫生—肿瘤]