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目的 探讨高龄老人患结直肠癌并急性肠梗阻的外科治疗原则及方法。方法 分析 1995-2 0 0 2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 期行右半结肠切除 14例 , 期行横结肠切除 10例 , 期行左半结肠或直肠上段癌切除近端结肠造口 ,关闭远端结肠或直肠备 期吻合 11例 ,行双腔造瘘 12例 ;术后并发症 3 2 % ,围手术期病死率 4%。结论 重视对高龄老人结直肠癌并急性肠梗阻的认识 ,合理选择手术方式 ,做好围手术期处理是减少并发症、提高疗效、降低死亡率的重要措施
Objective To explore the principles and methods of surgical treatment for elderly patients with colorectal cancer and acute intestinal obstruction. METHODS: Surgical treatment of acute intestinal obstruction caused by colorectal cancer was performed in 47 cases over 60 years of age from 1995 to 2002. Results Fourteen patients underwent right hemicolectomy and 10 underwent transverse colon resection. The left colon or upper rectal cancer was resected and the proximal colostomy was performed. The distal colon or rectum was prepared for anastomosis in 11 patients. In 12 cases, postoperative complications were 32%, and perioperative mortality was 4%. Conclusion The importance of recognizing elderly patients with colorectal cancer and acute intestinal obstruction, reasonable choice of surgical methods, and good perioperative management are important measures to reduce complications, improve curative effect and reduce mortality.