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目的探讨梗阻性大肠癌的外科治疗方法和术式选择及术中处理要点。方法分析2003年1月至2009年6月19例梗阻性大肠癌致低位肠梗阻患者的临床资料。结果 19例中,一期行右半结肠切除5例;一期行横结肠切除1例;一期行左半结肠癌切除,近端结肠造口、远端关闭备二期吻合11例,直肠肿瘤无法切除行乙状结肠造口2例。术后发生并发症3例,术后病死1例。结论选择合理术式及正确的术中处理,是减少梗阻性大肠癌手术并发症发生率、提高治愈率的重要方法。左半结肠癌致肠梗阻不能强行一期切除吻合。
Objective To investigate surgical treatment of obstructive colorectal cancer and surgical options and key points of intraoperative management. Methods From January 2003 to June 2009, 19 patients with obstructive colorectal cancer who had low intestinal obstruction were analyzed. Results In 19 cases, the first half of the right colon resection in 5 cases; one case of transverse colon resection in 1 case; a resection of the left colon cancer, proximal colostomy, distal closure of the second anastomosis in 11 cases, rectal cancer Two cases of sigmoid colostomy can not be removed. Postoperative complications occurred in 3 cases, 1 case of postoperative death. Conclusion Choosing proper surgical procedures and correct intraoperative management is an important method to reduce the incidence of surgical complications and improve the cure rate of obstructive colorectal cancer. Left colon cancer caused by intestinal obstruction can not be forced to resection and anastomosis.