论文部分内容阅读
目的:探讨老年结肠癌肠梗阻的外科治疗方法。方法:回顾性分析1995年￣2004年60岁以上结肠癌并发肠梗阻行手术治疗患者资料。结果:本组48例患者行一期切除吻合37例,其中右半结肠一期切除7例,左半结肠一期切除30例,回肠横结肠吻合2例,单纯横结肠造瘘9例,术后出现并发症13例,为切口感染、腹腔脓肿,1例出现术后吻合口瘘,2例患者临床死亡。结论:年龄不是手术危险的主要因素,具体术式要采取“个体化”原则,视术中具体情况合理选择术式。
Objective: To investigate the surgical treatment of intestinal obstruction in elderly patients with colon cancer. Methods: The data of patients who underwent surgery for colon cancer over 60 years old with intestinal obstruction from 1995 to 2004 were retrospectively analyzed. Results: The group of 48 patients underwent primary resection and anastomosis in 37 cases, of which 7 cases of right colon resection in one, 30 cases of left colon resection in one, 2 cases of transverse intestine anastomosis, 9 cases of simple transverse colonostomy, postoperative Complications in 13 cases, incision infection, abdominal abscess, anastomotic fistula occurred in 1 case, 2 patients died of clinical. Conclusion: Age is not the main factor of surgical risk. The specific technique should adopt the principle of “individuation”, and choose the appropriate surgical method according to the specific conditions in the operation.