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目的 :评价次全结肠切除在治疗老年人癌性左半结肠梗阻中的价值。方法 :对采用次全结肠切除治疗左半结肠癌致急性肠梗阻 2 1例 6 0岁以上患者的临床资料作回顾性总结。结果 :根治性切除 1 6例 ,姑息性切除 5例 ,术后每日排便 1～ 2次 ,均痊愈出院 ,无 1例出现吻合口瘘和死亡。随访结果 ,姑息切除的 5例患者均在术后 1 6个月内死亡 ,根治性切除的 1 6例患者的1年生存率为 1 0 0 % ,3年为 6 9.2 % (9/ 1 3) ,5年为 5 3.3% (5 / 8)。结论 :次全结肠切除是治疗梗阻性左半结肠癌的有效和安全术式。
Objective: To evaluate the value of subtotal colon resection in the treatment of cancerous left-sided obstruction in the elderly. Methods: A retrospective review was made on the clinical data of 21 patients with over 60 years of age who underwent subtotal colectomy in the treatment of acute intestinal obstruction of left colon cancer. Results: The radical resection in 16 cases, palliative resection in 5 cases, postoperative bowel movements 1 to 2 times a day, were cured and discharged, no one case of anastomotic leakage and death. All the 5 patients who underwent palliative resection died within 16 months after operation. The 1-year survival rate of 16 patients who underwent radical resection was 100%, and the 3-year survival rate was 6 9.2% (9/13) ), 5 3.3% (5/8) in 5 years. Conclusion: Subtotal colectomy is an effective and safe procedure for the treatment of obstructive left colon cancer.