摘要
目的:讨论大肠癌致肠梗阻的外科治疗方法。方法:分析2004～2008年40例大肠癌致肠梗阻的外科治疗资料。结果:40例患者中,Ⅰ期行右半结肠切除7例;Ⅰ期行横结肠切除2例;Ⅰ期行左半结肠切除或直肠上段癌切除、Hartmann结肠造口备Ⅱ期吻合28例;肿瘤无法切除行乙状结肠造口3例(直肠癌)。结论:重视对结肠癌致肠梗阻的认识、合理选择手术方式、减少并发症是提高外科治疗的重要方法。
Objective： To study the surgical treatment of large bowel obstruction caused by colorectal carcinoma. Methods： Retrospective analysis of the experience of surgical treatment for the large bowel obstruction caused by colorectal carcinoma in 40 patients from 2004 to 2008 was performed. Results： In the 40 patients,the fight hemicolctomy was performed in 7 patients;left hemicolectomy with proximal colon fistulization was performed in 28 patients; transvercolectomy was performed in 2 patients;sigmoid fistulization was performed in 3 patients because their rectum carcinoma couldn＇t be resected. Conclusion： More attention should be paid to large bowel-obstruction caused by colorectal carcinoma. Selecting rational colectomy and appropriate perioperative management is important for reducing both complication and mortality rate.
出处
《中国医药导报》
CAS
2009年第6期28-29,共2页
China Medical Herald
关键词
大肠癌
肠梗阻
外科治疗
Colorectal carcinoma
Large bowel obstruction
Surgical treatment
