论文部分内容阅读
目的 :探讨结肠癌致梗阻的外科处理方法。方法 :收集 1998～ 2 0 0 2年间 32例结肠癌致梗阻的外科治疗资料。结果 :Ⅰ期切除吻合 2 0例 (其中左半结肠Ⅰ期切除吻合 6例 )。Ⅰ期切除、Hartmann造口 4例。横结肠造瘘 ,Ⅱ期切除吻合闭瘘 5例 ,捷径手术 3例 ,并发症发生率 9.4 % (3/32 )。结论 :重视结肠癌梗阻认识 ,选择合理术式 ,降低并发症发生及死亡率 ,尽可能提高左半结肠梗阻Ⅰ期切除率。
Objective: To investigate the surgical treatment of obstruction caused by colon cancer. Methods: Surgical data of 32 cases of colon cancer caused by obstruction between 1998 and 2002 were collected. Results: Stage Ⅰ resection and anastomosis 20 cases (including left half colon resection and anastomosis in 6 cases). Stage Ⅰ resection, Hartmann stoma in 4 cases. Transverse colostomy, resection and anastomosis in 2 cases of closed fistula in 5 cases, shortcut surgery in 3 cases, the complication rate of 9.4% (3/32). Conclusion: The importance of colon cancer awareness, select a reasonable surgical procedures to reduce the incidence of complications and mortality, as much as possible to improve Ⅰ resection rate of left half colon obstruction.