CAJ | 학술논문

目的探讨结直肠癌引起肠梗阻的手术治疗方法.方法回顾性分手术治疗癌性肠梗阻50例患者资料,并对围手术期的治疗和手术后疗效进行评估.结果一期切除吻合21例,Hartmann术11例,全结肠、膀胱部分切除回肠造口术1例,捷径术和单纯造口术17例,术后切口感染3例,无吻合口瘘及死亡患者.结论结直肠癌引起的肠梗阻在谨慎选择手术方式的基础上可考虑一期切除吻合.
목적 탐토결직장암인기장경조적수술치료방법.방법 회고성분수술치료암성장경조50례환자자료,병대위수술기적치료화수술후료효진행평고.결과 일기절제문합21례,Hartmann술11례,전결장、방광부분절제회장조구술1례,첩경술화단순조구술17례,술후절구감염3례,무문합구루급사망환자.결론 결직장암인기적장경조재근신선택수술방식적기출상가고필일기절제문합.
Objective To discuss the opteration therapies of colorectal cancer causing intestinal obstruction.Methods Retrospectively analyze 50 operation therapy cases of colorectal cancer causing intestinal obstruction.Treatment of preoperative period and curative effect of postoperation were evaluated.Results One-stage resection and primary anastomosis were performed in 21 eases.Eleven patients underwent Harlmann procedure The whole colon and partial bladder ileostomy were performed in 1 case.Seventeen cases were treated with shortcuts and simple ostomy surgery.Wound infection occurred in 3 eases, as a surgical complication, and no anastomotie leakage appeared.There was no surgical death in the cases.Conclusions One-stage resection and anastomosis can be considered to treat intestinal obstruction caused by eolorectal cancer in the careful selection of cases.