CAJ | 학술논문

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.
목적 탐토좌반결장암병급복증적외과치료방법.방법 회고성분석아원2000년1월～2008년12월수치적좌반결장암병급복증36례적림상자료,소유병례균급진수술치료,기중행일기절제문합술28례,Hartmann수술5례,종류미능절제횡결장조루술3례.결과 술후출현문합구루1례,절구감염4례,폐부감염2례,대편차수증다1례,위수술기사망1례.결론 제고대좌반결장암병급복증적인식,수술응근거구체병정선택합리적술식,진가능행일기절제문합술,제고환자적생활질량,연장기생존기,피면이차수술적통고.
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.