急诊左半结肠癌梗阻一期切除吻合的探讨  

Emergency one-stage resection and anastomosis for obstructing left-side colonic cancer

作　　者：李俊生[1] 李劲松 张亚男[1] 胡洁霖[1] 陈卫东[1] 鞠兴唐[1] 芮宗道[1] 范新[1] 汤文浩[1] 

机构地区：[1]东南大学附属中大医院普外科,江苏南京210009 [2]酉阳县人民医院,重庆409800

出　　处：《东南大学学报（医学版）》2007年第4期305-307,共3页Journal of Southeast University(Medical Science Edition)

摘　　要：目的:探讨左半结肠癌合并肠梗阻一期切除吻合的效果。方法:对9例左半结肠癌合并肠梗阻的患者,1例行乙状结肠造瘘,8例行术中肠道灌洗,一期切除吻合。结果:8例一期切除吻合的患者均无吻合口瘘发生,痊愈出院。结论:适当选择病例并进行适当的术中处理,左半结肠癌合并肠梗阻者可以进行肿瘤切除后一期吻合。Objective To investigate the management of obstructing left-sided colonic cancer. Methods Among 9 cases of obstructing left-sided colonic cancer,one patient was treated with tumor resection and colostomy,the rest 8 patients were treated with intraoperative decompression,lavage,resection and ananstomosis. Result There was no anastomotic leakage, all patients discharged without motality. Conclusion Primary resection and anantomosis is an acceptable modality for the treatment of obstructing left-side colonic carcinoma when the patient＇s condition is feasible.

关 键 词：左半结肠癌 肠梗阻 术中灌洗 一期切除吻合 

分 类 号：R735.35[医药卫生—肿瘤]