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左侧结肠癌合并肠梗阻46例I期切除吻合临床分析
引用本文:鲁祥石 刘彦龙 佟金学 徐海涛 金钢. 左侧结肠癌合并肠梗阻46例I期切除吻合临床分析[J]. 中国急救医学, 2007, 27(7): 633-634
作者姓名:鲁祥石 刘彦龙 佟金学 徐海涛 金钢
作者单位:[1]哈尔滨医科大学附属肿瘤医院腹外科,150081 [2]伊春市西林区人民医院,153025
摘    要:
目的探讨左侧结肠癌合并肠梗阻进行Ⅰ期切除吻合的临床效果。方法回顾性分析2000~2006年46例左侧结肠癌合并肠梗阻,术中结肠减压灌洗和术前应用从日本引进的经肛门肠梗阻导管进行Ⅰ期切除吻合的临床资料。结果本组病例Ⅰ期切除吻合成功,无吻合口瘘发生,治愈出院。结论左侧结肠癌合并肠梗阻经严格掌握适应证,完善围手术期处理,Ⅰ期手术切除吻合是完全可行的,值得推广。

关 键 词:结肠肿瘤 肠梗阻 Ⅰ期切除吻合
文章编号:1002-1949(2007)07-0633-02
修稿时间:2007-02-25

Clinical analysis of one - stage resection and anastomosis of left colonic carcinoma and intestinal obstruction
LU Xiang - shi, LIU Yan - long, TONG Jin - xue, et al. Clinical analysis of one - stage resection and anastomosis of left colonic carcinoma and intestinal obstruction[J]. Chinese Journal of Critical Care Medicine, 2007, 27(7): 633-634
Authors:LU Xiang - shi   LIU Yan - long   TONG Jin - xue   et al
Affiliation:Department of Abdominal Surgery, the Tumor Hospital of Harbin Medical University, Harbin 150081, China
Abstract:
Objective To explore curative effect of one - stage resection and anastomosis of left colonic carcinoma and intestinal obstruction. Methods The clinical data of 46 patients with left colonic carcinoma and intestinal obstruction from 2000 to 2006 who were treated with transanus ileus tube made in Japan before the operation and lavage decompression during the operation were retrospectively analyzed. Results No postoperative anastomotic leakage were found and all the patients were cured and discharged from hospital. Conclusions One - stage resection and anastomosis is feasible for patients who suffered from left colonic carcinoma and intestinal obstruction if we strictly control indications and improve peripheral disposition between the pre- and post -operation.
Keywords:Colonic carcinoma    Intestinal obstruction    One - stage resection and anastomosis
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