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封闭式灌肠在高龄左半结肠癌肠梗阻术中的应用
引用本文:万德炎,何永越,石一峰,施志国. 封闭式灌肠在高龄左半结肠癌肠梗阻术中的应用[J]. 中国基层医药, 2006, 13(1): 86-87
作者姓名:万德炎  何永越  石一峰  施志国
作者单位:516600,广东省汕尾,汕尾逸挥基金医院普外科
摘    要:目的 总结高龄左半结肠癌肠梗阻切除吻合术中应用封闭式顺行灌肠法防止吻合口瘘的经验。方法 对1998年至2004年期间收治的37例高龄左半结肠癌肠梗阻患者术中应用封闭式顺行灌肠,并行Ⅰ期切除吻合。结果 37例高龄患者术后均未发生吻合口瘘,恢复良好。结论 术中应用封闭式顺行灌肠法,使高龄左半结肠癌致肠梗阻患者行Ⅰ期切除吻合成为可行。

关 键 词:结肠肿瘤 肠梗阻 灌肠 肠造口术 封闭式灌肠 高龄 左半结肠癌
收稿时间:2005-07-25
修稿时间:2005-07-25

Intraoperative lavagation on emergency one-stage surgery for advanced age patients with left obstructing colorectal carcinomas
WAN De-yan,HE Yong-yue,SHI Yi-feng,SHI Zhi-guo. Intraoperative lavagation on emergency one-stage surgery for advanced age patients with left obstructing colorectal carcinomas[J]. Chinese Journal of Primary Medicine and Pharmacy, 2006, 13(1): 86-87
Authors:WAN De-yan  HE Yong-yue  SHI Yi-feng  SHI Zhi-guo
Affiliation:Department of General Surgery, Yihui Furd Hospital of Shanwei , Shanwei , Guangdong , 516600, China
Abstract:Objective To analyze the outcome in advanced age patients with obstruction of the left colonrectal cancer treated by intraoperative cavage method. Methods From 1998 and 2004,37 senile patients with acute obstruction for cancer underwent surgery. The patients were treated with intraoperative lavage, resection and primary anastomosis. Results All patients, no anastomotic leakage occurred. The patients got a well recovery post-operation. Conclusion One-stage emergency surgery for left obstructing colonic cancers is safe with the regard of intraoperative lavagation methods.
Keywords:Colonic neoplasms   Intestinal obstruction   Enema    Enterostomy
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