结肠癌并发急性肠梗阻一期切除肠吻合30例手术体会  

One-stage Resection and Anastomosis for 30 Cases of Colon Cancer with Acute Intestinal Obstruction

作　　者：王静松[1] 张建淮[1] 陈余[1] 吕冬梅[1] 

机构地区：[1]江苏省淮安市第一人民医院分院普外科,江苏淮安223002

出　　处：《医学临床研究》2011年第11期2119-2120,共2页Journal of Clinical Research

摘　　要：【目的】探讨结肠癌并发急性肠梗阻一期切除肠吻合手术的可行性。【方法】回顾本院2003-2009年收治的32例结肠癌并发急性肠梗阻病例资料。【结果】32例患者均手术治疗，术中30例行一期肠吻合术，2例行结肠造瘘。术后出现吻合口瘘2例（6．3％），切口感染3例（9．4％），无死亡病例，均治愈出院。【结论】结肠癌并发急性肠梗阻患者如果全身情况及肿瘤情况允许行一期切除肠吻合术是可行的，若不能切除可选择造瘘，解除梗阻。[Objective] To explore the feasibility of one-stage resection and anastomosis for colon cancer complicated with acute intestinal obstruction. [Methods]Thirty two cases of colon cancer complicated with acute intestinal obstruction in our hospital from 2003 to 2009 were analyzed retrospectively. [Results]Thirty two patients were all operated. Among them, 30 cases underwent one-stage resection and anastomosis, and 2 cases underwent colostomy. Stomas fistula after the operation occurred in 2 cases（6.3 %） and incision infection occurred in 3 cases（9.4 %）. NO on died. All patients were cured and discharged from hospital. [Conclusion]If the whole body and tumor status permit, one-stage resection and anastomosis for colon cancer patients complicated with acute intestinal obstruction is feasible. The eolostomy should be chosen to remove the obstruction for the unresectable patients.

关 键 词：结肠肿瘤/并发症 肠梗阻/外科学 吻合术 外科 

分 类 号：R735.35[医药卫生—肿瘤]