| 老年人左半结肠癌并急性肠梗阻Ⅰ期切除吻合疗效观察(附46例报告) |
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| 引用本文： | 刘激文,李建元,张少峰.老年人左半结肠癌并急性肠梗阻Ⅰ期切除吻合疗效观察(附46例报告)[J].结直肠肛门外科,2008,14(1):27-28. |
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| 作者姓名： | 刘激文 李建元 张少峰 |
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| 作者单位： | 广东省东莞市莞城人民医院普外科,523009 |
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| 摘 要： | 目的 探讨老年人左半结肠癌急性肠梗阻行I期切除吻合手术的临床疗效.方法 对46例老年左半结肠癌急性梗阻患者行急诊I期切除吻合术,术中充分肠道减压和结肠灌洗使肠道空虚、清洁、吻合口双层缝合.结果 无死亡病例,肺部感染6例,切口感染5例,其中2例切口裂开,吻合口瘘2例.结论 左半结肠癌急性梗阻,只要严格掌握手术指征,I期手术是安全有效的.
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| 关 键 词： | 结肠癌 急性梗阻 结肠I期吻合 老年人 左半结肠癌 急性肠梗阻 期切除吻合术 疗效观察 elderly colon cancer left obstruction acute treatment Surgical cases 安全 期手术 手术指征 吻合口瘘 切口裂开 切口感染 肺部感染 |
| 文章编号： | 1009-8771（2008）01-0027-02 |
| 收稿时间： | 2007-06-06 |
| 修稿时间： | 2007年6月6日 |
Surgical treatment of acute obstruction caused by left colon cancer in the elderly:a report of 46 cases |
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| Liu Jiwen,Li Jianyuan,Zhang Shaofeng.Surgical treatment of acute obstruction caused by left colon cancer in the elderly:a report of 46 cases[J].Journal of Colorectal & Anal Surgery,2008,14(1):27-28. |
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| Authors: | Liu Jiwen Li Jianyuan Zhang Shaofeng |
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| Institution: | Liu Jiwen,Li Jianyuan,Zhang Shaofeng.Department of General Surgery,Guancheng people\'s Hospital,Dongguan,Guangdong 523009,China |
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| Abstract: | Objective To explore one-stage resection and anastomosis in the treatment of acute obstruction caused by left colon cancer in the elderly. Methods Clinical data of 46 elderly patients with obstructive carcinoma of the left colon underwent one-stage resection and anastomosis was reviewed. All patients underwent intra operative colonic irrigation and intestinal tract decompression. Results No operative death occurred. Six cases had lung infection, 5 cases got incision infection and 2 cases had incision rupture. Anastomotic leakage occurred in 2 cases. Conclusion One-stage resection and anastomosis is a safe and effective method for acute obstruction caused by left colon cancer in the elderly with indications. |
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| Keywords: | Carcinoma of colon Acute intestinal obstruction One-stage anastomosis |
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