左半结肠癌合并急性肠梗阻一期切除吻合器端侧吻合的临床分析  

One-stage Resection and Primary Anastomosis for Acute Obstruction Resulting From Left Colon Carcinoma with Anastomat

作　　者：张宇光[1,2] 周晓初[1,2] 马旭 陈洁生[1,2] 

机构地区：[1]广州中医药大学深圳附属医院 [2]深圳市中医院,518033

出　　处：《实用癌症杂志》2013年第4期360-361,共2页The Practical Journal of Cancer

摘　　要：目的探讨左半结肠癌合并急性肠梗阻一期切除吻合器端侧吻合的可行性。方法回顾分析20例左半结肠癌合并急性肠梗阻患者的临床资料。所有患者行一期切除,吻合器端侧吻合,据术中情况行结肠灌洗,术后应用抗生素及营养支持对症治疗。结果所有病例治愈出院。无吻合口瘘、出血和狭窄发生。切口感染2例,切口裂开1例,心功能衰竭1例,感染性休克1例。结论在选择合适患者基础上,左半结肠癌合并急性肠梗阻一期切除应用吻合器行端侧吻合安全有效。Objective To investigate the possibility of end-to-side anastomosis in acute obstruction resulting from left co- lon carcinoma. Methods The clinical data of 20 patients with acute obstruction resulting from left colon carcinoma who under- went one-stage resection and primary anastomosis with anastomat were retrospectively analyzed. Results There was no anastomot- ic leakage and anastomotic hemorrhage, no anastomotic stenosis. Wound infection occurred in 2 cases, disruption of wound oc- curred iu 1 case, heart failure occurred in 1 case,infectious shock occurred in 1 case. Conclusion One-stage resection and pri- mary anastomosis with anastomat is feasible and safe in selected cases.

关 键 词：左半结肠癌 急性肠梗阻 一期切除吻合 吻合器 端侧吻合 

分 类 号：R735.35[医药卫生—肿瘤]