| THE SELECTION OF SURGICAL PROCEDURE IN THE TREATMENT OF OBSTRUCTING CARCINOMA OF THE LEFT COLON |
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| 作者姓名： | 方基兴 邵初晓 胡平 杨品南 陈学荣 |
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| 作者单位： | Lishui Prefecture Hospital，Zhe Jiang，323000，Lishui Prefecture Hospital，Zhe Jiang，323000，Lishui Prefecture Hospital，Zhe Jiang，323000，Qingtian County Hospital，Zhe Jiang，Huanguan City Hospital，Zhe Jiang |
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| 摘 要： | From 1973 to 1989, 90 cases of obstructing carcinoma of the left colon were treated with five different operative procedures, the Incidence of anastomotic leakage was 6.7%, the operative mortality was 7. 8%. Among all the patients, 14 cases were treated by primary resection with anastomosis. Anastomotic leakage occurred in 6 cases, and 5 of them were died. Of 25 cases with the traditional staged management, the tumors were resected only in 20 cases, and not resectable in the other 5 patients. 19 with modified Hartmann's procedure and 26 with extended right hemlcolectomy with ileorectal or low ileosigmoid anastomosis gave satisfactory results. In terms of this series, the five-year survival rate in primary resection group was significantly higher than that in staged resection group (P< 0. 05). It is suggested that extented right hemlcolectomy or modified Hartmann' s procedure in cases of acute cancerous obstruction of the left colon would be favord.
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The selection of surgical procedure in the treatment of obstructing carcinoma of the left colon |
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| Jixing Fang,Chuxiao Shao,Pin Hu,Pinnan Yang,Xuerong Chen.THE SELECTION OF SURGICAL PROCEDURE IN THE TREATMENT OF OBSTRUCTING CARCINOMA OF THE LEFT COLON[J].Chinese Journal of Cancer Research,1993,5(4):293-297. |
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| Authors: | Jixing Fang Chuxiao Shao Pin Hu Pinnan Yang Xuerong Chen |
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| Institution: | Fang Jixing Shao Chuxiao Hu PinLishui Prefecture Hospital,Zhe Jiang,323000Yang PinnanQingtian County Hospital,Zhe JiangChen XuerongHuanguan City Hospital,Zhe Jiang |
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| Abstract: | From 1973 to 1989, 90 cases of obstructing carcinoma of the left colon were treated with five different operative procedures, the Incidence of anastomotic leakage was 6.7%, the operative mortality was 7. 8%. Among all the patients, 14 cases were treated by primary resection with anastomosis. Anastomotic leakage occurred in 6 cases, and 5 of them were died. Of 25 cases with the traditional staged management, the tumors were resected only in 20 cases, and not resectable in the other 5 patients. 19 with modified Hartmann's procedure and 26 with extended right hemlcolectomy with ileorectal or low ileosigmoid anastomosis gave satisfactory results. In terms of this series, the five-year survival rate in primary resection group was significantly higher than that in staged resection group (P< 0. 05). It is suggested that extented right hemlcolectomy or modified Hartmann' s procedure in cases of acute cancerous obstruction of the left colon would be favord. |
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| Keywords: | Colon tumor Intestinal obstruction Surgery of colon Hartmann operation |
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