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结直肠癌致急性肠梗阻的外科治疗
引用本文:李振洪,梁荣中,邓晓军,甘雨,黄一成,张涌泉. 结直肠癌致急性肠梗阻的外科治疗[J]. 结直肠肛门外科, 2002, 8(3): 165-167
作者姓名:李振洪  梁荣中  邓晓军  甘雨  黄一成  张涌泉
作者单位:广西壮族自治区民族医院普通外科,南宁,530001
摘    要:目的:探讨结直肠癌致急性肠梗阻的外科处理方法。方法:回顾性分析1991年1月至2001年6月手术探查的急性肠梗阻病例中73例结直肠癌性肠梗阻的外科处理。结果:行I期切除术61例,占83.6%(61/73),同时I期吻合49例,占80.3%(49/61),其中左半结肠及直肠肿瘤占44.9%(22/49)。72例痊愈出院。术后死亡1例,吻合口瘘1例。结论:即便为术中确诊的结直肠癌性急性肠梗阻,也应积极争取手术,只要适应证掌握恰当,I期切除和吻合术是安全可靠的。

关 键 词:结肠癌 直肠癌 肠梗阻 外科治疗
修稿时间:2002-03-19

ABSTRACT SURGICAL MANAGEMENT OF ACUTE COLON OBSTRACTION CAUSED BY COLORECTAL CANCER
Li Zhenhong,Liang Rongzhong,Deng Xiaojun,et al. ABSTRACT SURGICAL MANAGEMENT OF ACUTE COLON OBSTRACTION CAUSED BY COLORECTAL CANCER[J]. Journal of Colorectal & Anal Surgery, 2002, 8(3): 165-167
Authors:Li Zhenhong  Liang Rongzhong  Deng Xiaojun  et al
Affiliation:Li Zhenhong,Liang Rongzhong,Deng Xiaojun,et al Department of General Surgery,Guangxi People's Hospital,Nanning 530001
Abstract:Objective:To probe the surgical management of acute colon obstruction caused by colorectal cancer Methods:We analyzed respectively the surgical management of 73 cases of acute colon obstruction caused by colorectal cancer Results:Among the 73 cases of acute colon obstruction, there are 61 patients(83 6%) who underwent single stage resection and 47 patients(80 3%) who underwent primary anastomosis synchroneously with one patient died postoperatively and anastomosis fistula respectively Conclusion:For those patients who are confirmed that all the indications are dealt with properly, the single stage resection and anastomesis are safe and reliable
Keywords:Colonic cancer  Rectal cancer  Coloinc obstruction  Curgical management
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