梗阻性结肠癌患者的围手术期处理

目的　探讨梗阻性结肠癌的围手术期处理。方法　对我院1993年12月～2 0 0 3年12月198例梗阻性结肠癌手术的围手术期处理进行回顾性分析。结果　Ⅰ期根治性切除118例,Ⅱ期根治性切除6 7例,非根治性手术13例;术后并发吻合口漏3例,结肠造口回缩1例,切口裂开1例,腹腔感染2例,术后死亡1例。结论　梗阻性结肠癌的围手术期处理应注意:术式选择,术前的准备工作及手术时机的选择,术中结肠灌洗及肠腔减压,术后早排气、早进食、加强营养支持。

The perioperative treatment in patients with obstructive colonic carcinoma

Objective To investigate the perioperative treatment in patients with obstructive colonic carcinoma Methods The perioperative treatments in 198 cases with obstruct ive colonic carcinoma from December 1993 to December 2003 were analyzed retrospe ctively.Results All patients received surgical treatment,includ ing One-stage radical resection in 118 cases,Two-stage radical resection 67 ca ses,palliative resecton 13 cases.Of 198 cases with surgical opreation,8 cases de veloped postoperative complications,including anastomotic leakage in 3 cases,col ostomy retraction 1 case,wound dehiscence 1 case,abdominal infection 2 cases,One patient died.Conclusions The proper perioperative treatment in patients with obstructive colonic carcinoma is the key to prevent postoperative complications .