摘要
目的探讨结肠癌致急性肠梗阻的外科治疗。方法回顾性分析43例结肠癌并发急性肠梗阻患者的外科治疗方法及效果。结果 43例中,有30例行结肠一期切除吻合术;10例采用分期手术;3例行一期造瘘、二期肿瘤切除吻合术。术后并发吻合口瘘2例,切口感染3例。结论结肠癌致急性肠梗阻,有条件者应选用一期切除吻合术,但必须注意术中肠道灌洗和围手术期的处理。
Objective To investigate the treatment strategies of acute intestinal obstruction caused by colon cancer.Methods A retrospective study of 43 cases of colon cancer in patients with acute intestinal obstruction and the effect of surgical treatment.Results Thirty patients underwent stage Ⅰ tumor resection and anastomosis,10 patients underwent staging operation,3 patients underwent stage Ⅰ colostomy,stage Ⅱ tumor resection and anastomosis.Postoperative anastomotic leakage was observed in 2 cases,postoperative infection in 3 cases.Conclusion Acute intestinal obstruction caused by colon cancer should select stage Ⅰ tumor resection and anastomosis in the first place,but must pay attention to intraoperative bowel lavage and perioperative treatment.
出处
《肿瘤基础与临床》
2010年第4期327-328,共2页
journal of basic and clinical oncology
关键词
结肠癌
肠梗阻
外科治疗
colon cancer
intestinal obstruction
surgical treatment
