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报告78例结肠癌并急性梗阻的外科治疗结果,旨在总结对这类患者本式选择的原则及手术注意事项。急诊施行右半结肠切除术30例,左半结肠切除术21例,单纯结肠造口9例,Hartmann’s手术6例,结肠次全切除术5例,低位前切除术7例。手术效果满意,术后2例发生吻合口瘘(2.6%),仅1例死亡(1.3%)。强调结肠癌并梗阻,特别是左侧结肠癌外科治疗的本式选择应遵循个体化的原则,因病、因人而异,有条件者主张选用1期切除吻合,可一次性根治切除病变,免遭分期手术的痛苦,且手术亦属安全可行。
The results of surgical treatment of 78 cases of colon cancer and acute obstruction were reported, aiming at summarizing the principles of this type of patient selection and surgical precautions. The emergency department performed right hemicolectomy in 30 cases, left hemicolectomy in 21 cases, simple colostomy in 9 cases, Hartmann’s operation in 6 cases, subtotal colonectomy in 5 cases, and low anterior resection in 7 cases. Satisfactory results were obtained. Anastomotic leakage occurred in 2 cases (2.6%) and only 1 case died (1.3%). Emphasis on colon cancer and obstruction, especially the left side of the surgical treatment of colon cancer, this type of choice should follow the principle of individualization, due to illness, vary from person to person, conditional advocates use of a resection and anastomosis, one-time radical resection of lesions, Avoid the pain of staging surgery, and the operation is also safe and feasible.