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目的:探讨高龄老人患结直肠癌并发急性肠梗阻的外科治疗原则及方法。方法:分析1995/2007年60岁以上47例结直肠癌致急性肠梗阻的外科治疗资料。结果:I期行右半结肠切除14例,I期行横结肠切除10例,I期行左半结肠或直肠上段癌近端结肠造口,关闭远端结肠或直肠备II期吻合11例,行双腔造瘘12例;术后并发症32%,围手术期病死率4%。结论:重视对高龄老人结直肠癌急性肠梗阻的认识,合理选择手术术式,做好围手术期的准备是减少老人并发症、提高疗效、降低死亡率的重要措施。
Objective: To investigate the surgical treatment of colorectal cancer complicated with acute intestinal obstruction in elderly patients. Methods: Surgical data on 47 patients with acute intestinal obstruction of colorectal cancer older than 60 years old in 1995/2007 were analyzed. Results: In the first stage of right colon resection in 14 cases, I stage transverse colon resection in 10 cases, I stage left colon or rectal cancer proximal colon colostomy, close the distal colon or rectum in 11 cases of anastomosis, 12 cases of double-cavity fistula; postoperative complications 32% perioperative mortality rate of 4%. Conclusion: It is important to recognize the acute intestinal obstruction of colorectal cancer in elderly patients. To choose the surgical procedure reasonably and prepare well for the perioperative period is an important measure to reduce the complication of the elderly and improve the curative effect and reduce the mortality rate.