摘要
目的评价次全结肠切除在治疗癌性左半结肠梗阻中的价值。方法总结左半结肠癌导致的28例急性肠梗阻患者采用次全结肠切除术的临床资料。结果男19例,女9例;年龄27～86(平均65.7)岁。均因急性肠梗阻收住院,从发病到手术间隔时间41～143(平均87)h。入院后均快速给予术前准备,在全麻下行次全结肠切除术,回肠结肠或直肠吻合术,其中根治性切除21例,姑息性切除7例,均痊愈出院,未出现吻合口瘘或死亡。术后每天排便1～2次。姑息切除的7例患者均在术后16个月内死亡,根治性切除的21例患者的1、3、5年生存率分别为100%、77.8%(14/18)和57.1%(8/14)。结论次全结肠切除是治疗梗阻性左半结肠癌的有效和安全术式。
Objective To evaluate the clinical role of emergency subtotal/total colectomy with one stage anastomosis for acute left sided obstructing colorectal carcinoma. Methods From 1994 to 2002, 28 patients with acute left sided colorectal carcinoma were treated by emergency subtotal/total colectomy with one stage anastomosis. The clinical data were reviewed retrospectively. Results Among 28 cases, there were 19 males and 9 females. The age ranged from 27 to 86 years with an average of 65 7 years. The interval from obstruction onset to operation was 41～143 hours and averaged 87 hours. After short preoperation preparation,total/subtotal colectomy with one stage anastomosis was performed,including radical resection in 21 cases and palliative resection in 7 cases. All patients healed without postoperative anastomotic leakage. After operation all patients had a defecation frequency of 1～2 times per day. The patients after palliative resection died within 16 months, while the 1 , 3 and 5 years survival rates of the patients after radical resection were 100%,77 8% and 57 1% respectively. Conclusion Emergency subtotal/total colectomy with one stage anastomosis is safe and effective for the patients with acute left sided obstructing colorectal carcinoma.
出处
《中华胃肠外科杂志》
CAS
2003年第4期233-234,共2页
Chinese Journal of Gastrointestinal Surgery
