结直肠癌急性肠梗阻的外科治疗

目的探讨结直肠癌急性肠梗阻的手术治疗。方法手术治疗27例结直肠癌急性肠梗阻，其中行Ⅰ期切除吻合术23例(85％)，单纯横结肠造口1例，捷径手术3例。结果随访Ⅰ期切除肠吻合术后患者5年生存率为53％，无吻合口瘘等并发症及死亡。结论结肠癌急性肠梗阻，经积极术前准备后应早行手术，术式首选Ⅰ期切除肠吻合术。

Surgical Treatment of Colorectal Carcinoma complicating Acute Intestinal Obstruction

Objective To study the operation of colorectal carcinoma associated with acute intestinal obstruction. Methods Twenty-seven cases of colorectal carcioma associated with acute intestinal obstruction were submitted surgical treatment. Of the 27 cases, 23 underwent primary resection with anastomosis (85%), 1 transverse colostomy simply, and 3 intestinal short circuit operations. Results Follow-up revealed that 5-year survival rate in group with primary resection with anastomosis was 53%. No death or anastomotic leakage was found after operation. Conclusion It is suggested that in the treatment of colorectal carcinoma associated with acute intestinal obstruction, preoperational preparation should be active and surgical operation should be carriy out as earlier as possible. The first choice of operation is pimary resection with intestinal anastomosis .