CAJ | 학술논문

目的探讨老年结直肠癌并急性肠梗阻的外科处理方法.方法回顾性分析2002年1月至2007年1月收治的56例老年结直肠癌并急性肠梗阻患者的临床资料.其中右半结肠癌并梗阻20例,左半结肠癌并梗阻32例,直肠癌并梗阻4例,肿瘤近端肠管造瘘3例;右半结肠一期切除吻合20例,左半结肠一期切除吻合25例,Hartmann手术4例,Dixon手术2例,肿瘤近端肠管造瘘2例.结果术后出现并发症18例,包括切口感染8例,腹腔感染3例等,死亡1例,55例痊愈出院.结论老年结直肠癌并急性肠梗阻一经确诊,应积极争取手术,重视围手术期处理,合理选择手术方式,是降低术后并发症发生率和病死率的关键.
목적 탐토노년결직장암병급성장경조적외과처리방법.방법 회고성분석2002년1월지2007년1월수치적56례노년결직장암병급성장경조환자적림상자료.기중우반결장암병경조20례,좌반결장암병경조32례,직장암병경조4례,종류근단장관조루3례;우반결장일기절제문합20례,좌반결장일기절제문합25례,Hartmann수술4례,Dixon수술2례,종류근단장관조루2례.결과 술후출현병발증18례,포괄절구감염8례,복강감염3례등,사망1례,55례전유출원.결론 노년결직장암병급성장경조일경학진,응적겁쟁취수술,중시위수술기처리,합리선택수술방식,시강저술후병발증발생솔화병사솔적관건.
Objective To study the sugical treatment of elderly patients with acute intestinal ob-struction caused by colorectal cancer. Methods The clinical data of 56 elderly patients of acute colonic ob-struction caused by colorectal cancer from Janury 2002 to Janury 2007 were analyzed retrospectively. There were 20 cases with right side coloniclesion,32 cases with left side coloniclesion and 4 cases with rectal lesion. All patients received emergency operation. One stage tumor resection and anastomosis was performed in 20 cases with right side coloniclesion and in 25 cases with left side coloniclesion,Hartmann operation in 4 cases,proximal colostomy in 3 cases were performed with left side coloniclesion. Dixon operation in 2 cases and proximal colostomy in 3 cases were performed with rectum cancer. Results Postoperative complications occurred in 18 cases,including wound infection,intraperitoneal sepsis and intestinal fistula. Fifty-five cases recovered,there was one perioperative death. Conclusions Positive operation should be taken when the diagnosis of acute obstructing colorectal cancer the elderly is made. The operative methods depended on the patient'conditions. The perioperative managment should be emphasized and selection of rational operation procedure is important for decreasing mortality and complications of acute obstructing colorectal cancer in the elderly.