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目的:探讨结直肠癌伴急性梗阻的外科处理方法。方法:回顾性分析1995 ~ 2003年间32例结直肠癌伴急性肠梗阻的外科治疗资料。全组32例,I期行右半结肠切除7例,I期左半切除吻合6例,前切除1例,I期左半结肠或直肠上段癌切除,近端结肠造口,关闭远端结肠或直肠14例,转流捷径手术1例,单纯结肠造口3例。结果:吻合口漏1例,围手术期死亡1例,30例(93.4%)恢复顺利,康复出院。结论:重视围手术的处理,根据结直肠癌伴急性梗阻病人全身情况和局部条件合理选择手术方式。
Objective: To investigate the surgical treatment of colorectal cancer with acute obstruction. Methods: Surgical data of 32 cases of colorectal cancer with acute intestinal obstruction were retrospectively analyzed from 1995 to 2003. The whole group of 32 cases, I right line in the right colon resection in 7 cases, I left half anastomosis in 6 cases, anterior resection in 1 case, I left half of the colon or rectal cancer resection, proximal colostomy, close the distal colon Or rectum in 14 cases, shortcut surgery in 1 case, simple colostomy in 3 cases. Results: One patient had anastomotic leakage and one patient died during perioperative period. Thirty patients (93.4%) recovered smoothly and were discharged. Conclusion: The importance of perioperative management, according to the colorectal cancer patients with acute obstruction of the general condition and local conditions reasonable choice of surgical approach.