| 左半结肠癌并急腹症的外科治疗 |
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| 引用本文： | 胡传华,谢文彪,魏付桥. 左半结肠癌并急腹症的外科治疗[J]. 国际外科学杂志, 2008, 36(1): 369-371. DOI: 10.3760/cma.j.issn.1673-4203.2009.06.004 |
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| 作者姓名： | 胡传华 谢文彪 魏付桥 |
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| 作者单位： | 南华大学第二附属医院肿瘤外科,衡阳,421001; |
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| 摘 要： | 目的 探讨左半结肠癌并急腹症的外科治疗方法.方法 回顾性分析我院2000年1月～2008年12月收治的左半结肠癌并急腹症36例的临床资料,所有病例均急诊手术治疗,其中行一期切除吻合术28例,Hartmann手术5例,肿瘤未能切除横结肠造瘘术3例.结果 术后出现吻合口瘘1例,切口感染4例,肺部感染2例,大便次数增多1例,围手术期死亡1例.结论 提高对左半结肠癌并急腹症的认识,手术应根据具体病情选择合理的术式,尽可能行一期切除吻合术,提高患者的生活质量,延长其生存期,避免二次手术的痛苦.
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| 关 键 词： | 左半结肠癌 急腹症 外科治疗 |
Surgical treatment of left colon cancer complicated with acute abdomen |
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| HU Chuan-Hua,XIE Wen-Biao,WEI Fu-Qiao. Surgical treatment of left colon cancer complicated with acute abdomen[J]. International Journal of Surgery, 2008, 36(1): 369-371. DOI: 10.3760/cma.j.issn.1673-4203.2009.06.004 |
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| Authors: | HU Chuan-Hua XIE Wen-Biao WEI Fu-Qiao |
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| Abstract: | Objective To study the surgical treatment of left colon cancer complicated with acute abdo-men.Methods From January 2000 to Dcember 2008,the clinic data of 36 patients with left colon cancer complicated by acute abdomen were analyzed retrospectively.All cases have been chosen emergency opera-tion.One-stage colectomy and annstomosis were performed in 28 cases,Hartmann in 5 cases and palliative colostomy in 3 cases.Results Anastomic leakage was found in one case after operation,infection of inci-sion happended in 4 cases,infection of lung happened in 2 cases,the times of defecation rised in one case,one patient died.Conclusion More attention shoud be paid to left colon cancer complicated by acute abdo-men.According to the patients'status,different operative manners were chosen.One-stage operation should be chosen firstly to improve quality of life and avoid staged operation. |
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| Keywords: | left colon canceracute abdomensurgery |
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