CAJ | 학술논문

目的：评价扩大右半结肠切除术治疗横结肠癌合并梗阻的可行性。方法：回顾性分析2008年9月至2013年9月我院32例行扩大右半结肠切除术的横结肠癌合并梗阻患者的临床资料。结果：32例手术均获成功，手术时间为（175±34）min，出血量（82±14）ml，胃肠功能恢复时间（4．0±0．2）d，术后住院时间（11±2．1）d；均无严重并发症发生。22例患者随访5-58个月，10例失访，4例术后2年内发现肝转移，1例术后6月发现腹腔转移。结论：扩大右半结肠根治术治疗横结肠癌合并梗阻安全有效。
목적：평개확대우반결장절제술치료횡결장암합병경조적가행성。방법：회고성분석2008년9월지2013년9월아원32례행확대우반결장절제술적횡결장암합병경조환자적림상자료。결과：32례수술균획성공，수술시간위（175±34）min，출혈량（82±14）ml，위장공능회복시간（4．0±0．2）d，술후주원시간（11±2．1）d；균무엄중병발증발생。22례환자수방5-58개월，10례실방，4례술후2년내발현간전이，1례술후6월발현복강전이。결론：확대우반결장근치술치료횡결장암합병경조안전유효。
To evaluate the feasibility of patients with transverse colon cancer and obstruction in the expanded right hemicolectomy. Methods:The clinical data of 32 patients with transverse colon cancer and obstruction were analyzed retrospectively from Sept 2008 to Sept 2013. Results:All of the operations were performed. The operating time,blood loss,postoperative ambulation time,postoperative hospital stay were (175±34)min、(82±14)ml、(4.0±0.2) d、(11±2.1)d. These were no severe complications. 22 cases were followed up 5 to 58 months, 10 cases were lost. Four of them had hepatic metastasis in two years,One of them had peritoneal metastasis after six months. Conclusions:Expanded right hemicolectomy is feasible and safe for patients with transverse colon cancer with obstruction.