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一期吻合手术治疗梗阻性左半结肠癌的临床疗效观察 被引量:4

Primary excision and anastomosis for the left colon tumor complicated with bowel obstruction
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摘要 目的探讨梗阻性左半结肠癌一期吻合手术的临床疗效。方法回顾性分析79例梗阻性左半结肠癌行一期吻合手术患者的临床资料。结果本组均行一期吻合手术,根治切除67例,姑息切除12例,术后切口感染4例,肺部感染2例,吻合口瘘2例,死亡1例,因吻合口瘘致严重腹腔感染抢救无效死亡。结论对梗阻性左半结肠癌,采取积极的治疗,选择手术时机,以一期吻合手术可以达到满意的效果。 Objective To investigate obstructive left colon resection and anastomosis of a surgical treatment. Methods Retrospective analysis of 79 cases with left colon obstruction of one stage resection and anastomosis was reported. Results The tumors were removed successfully in an intestinal anastomosis,radlcal resection in 67 cases, palliative resection in 12 cases, postoperative wound infection in 4 cases,lung infection in 2 patients, anastomotic fistula in 2 cases, 1 patient died of anastomotie leakage caused by severe abdominal infection. Conclusion Obstructive left colon cancer treatment of positive attitude, choose the timing of surgery, the use of a tulnor resection and anastomosis can achieve satisfactory results.
作者 欧盛钊
出处 《中国实用医药》 2013年第12期49-50,共2页 China Practical Medicine
关键词 一期手术 肠梗阻 结肠癌 I stage operation Intestinal obstruction Colonic neoplasm
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