| 术中肠腔减压在左半结肠癌肠梗阻一期切除吻合术中的临床应用 |
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| 引用本文： | 高友福,孙颢,陈宏,吴学勇,姜波健.术中肠腔减压在左半结肠癌肠梗阻一期切除吻合术中的临床应用[J].结直肠肛门外科,2011,17(2):71-74. |
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| 作者姓名： | 高友福 孙颢 陈宏 吴学勇 姜波健 |
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| 作者单位： | 高友福,孙颢,陈宏(上海复旦大学附属华山医院静安分院普外科,上海,200040);吴学勇(上海复旦大学附属华山医院静安分院肿瘤科,上海,200040);姜波健(上海交通大学医学院附属第三人民医院普外科,上海,201900) |
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| 基金项目： | 上海市卫生局课题资助项目 |
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| 摘 要： | 目的探讨左半结肠癌肠梗阻术中排便减压一期切除吻合术的安全性和疗效。方法回顾分析2000年1月至2010年3月间对45例左半结肠癌肠梗阻患者行术中排便或/和灌洗一期切除吻合术的临床病理资料,并与同期行Hartmann术的28例左半结肠癌肠梗阻患者的临床疗效进行比较。结果两组患者在年龄、性别、基础疾病、肿瘤部位、分期等方面差异无统计学意义。术中一期切除吻合组与Hartmann术组并发症发生率分别为26.7%和28.6%（P=0.682）;手术死亡率分别为2.2%和3.6%（P=0.351）,差异均无统计学意义。术中一期切除吻合组总住院时间为（17.1±6.9）d,住院费用为（51087.5±37916.4）元;Hartmann术组首次手术切除和二次关瘘术的总住院时间为（25.7±8.9）d,两次总住院费用为（78624.2±31734.7）元;两组比较,分别为P=0.001和P=0.020,差异有统计学意义。结论严格掌握手术适应证和基本操作,对左半结肠癌肠梗阻术中排便减压一期切除吻合术是可行的、安全的。
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| 关 键 词： | 左半结肠癌 肠梗阻 一期切除吻合术 排便减压 肠瘘 Hartmann术 |
Clinical application of primary anastomosis after intraoperative colonic defecation with manual decompression only in patients with obstructive left-sided colon cancer |
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| Gao Youfu,Sun Hao,Cheng Hong,et al..Clinical application of primary anastomosis after intraoperative colonic defecation with manual decompression only in patients with obstructive left-sided colon cancer[J].Journal of Colorectal & Anal Surgery,2011,17(2):71-74. |
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| Authors: | Gao Youfu Sun Hao Cheng Hong |
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| Institution: | Gao Youfu,Sun Hao,Cheng Hong,et al.(Dept of General Surgery,Shanghai Jing'an District Central Hospital,Shanghai 200040) |
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| Abstract: | Objective To discuss the safety and curative effect on primary resection and anastomosis after intraoperative colonic defecation and irrigation for obstructive left-sided colon cancer.Methods The clinicopathological information of 73 patients admitted to our department from January 2000 and March 2010 with obstructing left-sided colonic cancers were analyzed retrospectively.Forty-five patients were randomized intraoperatively to receive colonic defecation and irrigation,and twenty-eight to receive Hartmann'... |
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| Keywords: | Colonic neoplasms Obstructed left-sided colon Primary resection and anastomosis Defecation and manual decompression Anastomotic leak Hartmann procedure |
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