CAJ | 학술논문

目的探讨老年结直肠癌患者合并急性肠梗阻的外科治疗方法.方法回顾性分析2004年1月-2011年12月手术治疗的48例结直肠癌伴急性肠梗阻病人的临床资料.结果48例均经手术治疗.18例为右半结肠癌伴梗阻,其中右半结肠一期切除的16例,未发生吻合口漏,行短路手术的2例癌肿不能实施切除;一期吻合5例行横结肠切除;一期左半结肠切除肠吻合术10例,术后发生吻合口漏1例,其中行金属内支架置入或带球囊导管的8例降结肠或乙状结肠癌伴梗阻者,解除梗阻后1行一期肿瘤切除肠吻合;Dixon手术9例,Hartmann手术4例永久造瘘;单纯结肠造口2例肿瘤无法行切除.结论根据急性梗阻性结直肠癌病人全身情况和局部条件,合理选择正确的手术方式,重视围手术的处理.
목적탐토노년결직장암환자합병급성장경조적외과치료방법.방법회고성분석2004년1월-2011년12월수술치료적48례결직장암반급성장경조병인적림상자료.결과48례균경수술치료.18례위우반결장암반경조,기중우반결장일기절제적16례,미발생문합구루,행단로수술적2례암종불능실시절제;일기문합5례행횡결장절제;일기좌반결장절제장문합술10례,술후발생문합구루1례,기중행금속내지가치입혹대구낭도관적8례강결장혹을상결장암반경조자,해제경조후1행일기종류절제장문합;Dixon수술9례,Hartmann수술4례영구조루;단순결장조구2례종류무법행절제.결론근거급성경조성결직장암병인전신정황화국부조건,합리선택정학적수술방식,중시위수술적처리.
@@@@Objective To study the surgical treatment of acute colon and rectum obstruction in the elderly patients caused by colorectal cancer.Methods The clinical data of the surgical treatment of 48 cases of acute colon and rectum obstruction caused by colorectal cancer from January 2004 to December 2011 were analyzed respectively. Results 48 cases were treated by operation. 18 cases received right hemicolectomy and 1 case received t ransverse colectomy with primary anastomosis. The expandable metallic stent was used in 2 cases of obstructive sigmoid colon carcinoma ,and sigmoidectomy was performed weeks later. 10 cases received lef t hemicolectomy with primary anastomosis synchronously. Dixon procedure was performed on 9 patient s, Hartmann procedure was performed on 4 patient s,Four cases underwent colostomy because of the unresectable tumor. Conclusion More attention should be paid to perioperative management.Effective surgical pro2 cedure should be selected according to the condition of the patient and the local condition of the lesion.