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目的探讨急性肠梗阻性大肠癌的外科治疗方法。方法回顾性分析我院收治的1994年至2008年85例急性梗阻性大肠癌的外科治疗资料。在36例右半结肠癌中,35例行一期右半结肠切除术,1例行捷径手术,在49例左半结肠及直肠癌中,36例行一期切除术,5例单纯造瘘术,5例行麦氏术,3例行Har-tm ann术。结果一期右半结肠切除35例顺利康复,1例重度感染休克死亡;一期左半结肠切除34例,1例肠麻痹,MoF死亡,6例切口感染,2例吻合口漏,再次行横结肠造瘘术。结论对于急性梗阻性大肠癌,应遵循个体化原则,合理选择手术方法,右半结肠癌性肠梗阻,可行一期手术,对于左半结肠癌性急性肠梗阻,行一期手术是可行的,手术并发症的发生率与分期手术的发生率相仿。
Objective To investigate the surgical treatment of acute intestinal obstruction of colorectal cancer. Methods Retrospective analysis of surgical treatment of 85 cases of acute obstructive colorectal cancer admitted to our hospital from 1994 to 2008. Among the 36 patients with right colon cancer, 35 patients underwent right-sided half-colon resection and one underwent short-cut surgery. Of the 49 patients with left-sided colon and rectum, 36 underwent primary resection and 5 were simple fistula Five patients underwent Myristic surgery and three underwent Harm tm ann surgery. Results In the first stage of right colon resection, 35 cases were successfully recovered and 1 died of severe infection. In the first stage, 34 cases of left colon resection and 1 case of intestinal paralysis died of MoF, 6 cases were incisional infection and 2 cases were anastomotic leakage. Ostomy. Conclusion Acute obstructive colorectal cancer should follow the principle of individualism, reasonable choice of surgical methods, right colon cancer with intestinal obstruction, a feasible operation for the left colon cancer with acute intestinal obstruction, a line operation is feasible, The incidence of surgical complications and staging surgery similar incidence.