汪建平 唐远志 董文广 510080 广州，中山医科大学附属第一医院胃肠胰外科 中国胃肠外科杂志 1999 0 2 2


    关键词：结直肠癌；急性结肠梗阻；一期切除吻合 期刊 zgwcwkzz 0 论 著 fur -->


    

【摘要 】 目的 探讨结、直肠癌并急性结肠梗阻病例的外科处理原则和方法。方法 回顾性分析我院自1982年至1998年收治的225例结、直肠癌并急性结肠梗阻病例，结合近年国内、外文献，综合评价其外科处理方法。结果 225例患者均经手术治疗，出现并发症23例；死亡13例，病死率为5.8%，其余均痊愈出院。结论 结、直肠癌并急性结肠梗阻的处理要根据病人的全身情况和肿瘤的局部情况来进行综合判定。适应证掌握恰当，一期肿瘤切除和吻合术是安全的。

Surgical management ofacute colon obstruction caused by colorectal cancer:A review of 225 cases

WANG Jianping，TANG Yuanzhi，DONG Wenguang，et al.

    Department of Gastrointestinopancreatic Surgery，First Affiliated Hospital，Sun Yat-sen University of Medical Sciences，Guangzhou 510080

【Abstract 】 Objective To evaluate the principle andmethod of surgical management of acute colon obstruction caused by colorectal cancer. Methods Data of 225 above cases in ourhospital from 1982 to 1998 were analyzed retrospectively. With a review of recent domesticand foreign literatures, surgical management about these patients was comprehensivelyevaluated. Results Everyone of 225 cases underwent an operation. Complicationsoccurred in 23 cases. 13 cases were dead and the mortality rate was 5.8%. The rest ofpatients were healed. Conclusion The management of acute colon obstruction caused bycolorectal cancer depends on general condition of the patient and local manifestation ofthe cancer. If only an indication is appropriate, the single-stage resection andanastomosis may be safe and suitable.

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