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左半结肠癌急性肠梗阻的外科治疗
引用本文:王春祥,张始业,王培林. 左半结肠癌急性肠梗阻的外科治疗[J]. 结直肠肛门外科, 2005, 11(2): 114-115
作者姓名:王春祥  张始业  王培林
作者单位:1. 济南市第三人民医院普外科,250101
2. 山东大学第二医院普外科,250033
摘    要:目的:探讨左半结肠癌急性肠梗阻的合理治疗措施。方法:回顾性分析我院普外科1999年6月至2004年6月手术治疗的左半结肠癌急性肠梗阻136例的临床资料。结果:136例病人中,112例行肿瘤一期切除吻合术,切口感染4例;16例行Hartmanns手术,4例行永久性结肠造口术,无并发症;4例行捷径手术,肠吻合口瘘1例。结论:左半结肠癌急性肠梗阻病人,手术采取何种术式,要据病人具体病情,综合分析。

关 键 词:左半结肠癌  肠梗阻  灌洗
收稿时间:2004-10-25
修稿时间:2004-10-25

The Surgical Treatment of Acute Obstructive Left Colonic Carcinoma
Wang Chunxiang,Zhang Shiye,Wang Peilin. The Surgical Treatment of Acute Obstructive Left Colonic Carcinoma[J]. Journal of Colorectal & Anal Surgery, 2005, 11(2): 114-115
Authors:Wang Chunxiang  Zhang Shiye  Wang Peilin
Affiliation:1 Department of General Sergery ,The Third Peoples Hospital of Jinan ,Sandong Province, 250101; 2 Department of General Sergery ,the Second Affiliated Hospital of Shandong University, Shangdong province, 250033
Abstract:Objective:To investigate the rational treatment ofacute obstructive left colonic carcinoma.Methods:The clinical data of 136 cases with acuteobstructive left colonic carcinoma treated by operationfrom June,1999 to June ,2004 in the Third People' Hospital of Jinan were analyzed. Results:Of the 136 c ases, 112 cases received primary hemicolectomy and anastomosis,and 4 cases' inci sion were infected;16 cases underwent Hartmanns operation.and 4 cases underwent perpetual colostomy with no complication;4 cases received bypass operation andpostoperative anastomic leakage was found in one case. Conclusion:selecting surgical procedure for patient with acu te obstructive left colonic carcinoma,must make synthetical analysis according t o individual condition.
Keywords:Left colonic carcinoma   Intestinal obstruction
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