梗阻性左半结肠癌手术治疗体会(附78例报告)  

Surgical treatment of obstructive carcinoma of left colon:report of 78 cases

作　　者：庞士勇[1] 徐皓[1] 

机构地区：[1]安徽省六安市人民医院外一科,安徽六安237005

出　　处：《医学信息（西安上半月）》2006年第9期1649-1651,共3页Medical Information

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。方法总结自1990年来我院手术治疗的梗阻性左半结肠癌共78例的临床资料,分析手术方式的选择与体会。结果本组48例患者痊愈出院;14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;1例发生吻合口瘘;围手术期死亡2例。随访61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 78 cases with obstructive carcinoma of left colon in our hospital since 1990 were reviewed to analyze the different operational ways. Results 48 cases in this group were healed. Radical resection could not be done in 14 cases because of the detective results of tumor proliferation during the secondary operation. Anastomotic fistula was happened in 2 cases. 3 cases were dead during hospitalization. 61 cases were followed up,and their survival 1,3,5 years rates were 98% ,70% ,40% respectively. Conclusion It is safe for proper cases to undergone resection of obstructive carcinoma of left colon plus alimentary tract reconstruction at the same time.

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]