CAJ | 학술논문

目的探讨老年急性结肠癌性肠梗阻手术治疗的有关问题。方法回顾分析1994年1月至1999年6月48 例老年急性结肠癌性肠梗阻的手术处理。结果 26例行急诊手术。48例中2 1例根治性切除，25例姑息性切除，2例旁路手术。术后并发症17例，围手术期死亡13例(27. 1%)。结论必要的术前准备、合并症及术后并发症的防治、围手术期营养支持是提高老年急性结肠癌性肠梗阻手术功率的关键。
목적탐토노년급성결장암성장경조수술치료적유관문제。방법회고분석1994년1월지1999년6월48 례노년급성결장암성장경조적수술처리。결과 26례행급진수술。48례중2 1례근치성절제，25례고식성절제，2례방로수술。술후병발증17례，위수술기사망13례(27. 1%)。결론필요적술전준비、합병증급술후병발증적방치、위수술기영양지지시제고노년급성결장암성장경조수술공솔적관건。
Objective　To investigate surgical managements of acute obstruction colon cancer in the elderly.Methods　From Janu ary 1994 to June 1999,48 elderly patients with acute obstruction of colon cancer who underwent operations were analyzed retrospectively.Results　26 cases underwent emergent operations.Of 48 cases,21 received radical resecti on,25 palliative resection and 2 by-pass operation.With postoperative complicat ions in 17 cases and 13 death in the perioperative period(mortality 27.1%).Conclusions　The keys to a high operative survival rate are nece ssary preoperative preparation,treatment of concomitant diseases,postoperative p reventions of complications and perioperative nutritional support in elderly pa tients with acute obstruction of colon cancer.