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我院1985～1990年行结肠癌急症一期切除29例,吻合口瘘发生率为3.4％,疗效满意,报告如下。临床资料男20例,女9例。年龄17岁～62岁,29例均急症入院。发病至手术时间20～94小时(不全转为完全肠梗阻,仅计算完全梗阻时间),平均45.6小时.临床表现:肠梗阻24例,腹膜炎3例,下消化道出血2例,合并休克4例.术式:右半结肠切除10例,左半结肠切除3例,乙状结肠切除8例,横结肠及结肠部份切除各4例。病理诊断:腺癌28例,类癌1例。术后总并发症发生率10.3％,其中切口感染2例,1例58岁男病人因重度低蛋白血症,于术后5天发生吻合口瘘,经深静脉营养
In our hospital from 1985 to 1990, 29 patients underwent primary resection of colon cancer. The incidence of anastomotic leakage was 3.4%. The efficacy was satisfactory. The report is as follows. Clinical data were 20 males and 9 females. Ages 17 to 62 years, 29 cases were admitted to the hospital. Onset to operation time 20 to 94 hours (incomplete conversion to complete intestinal obstruction, only calculated complete obstruction time), an average of 45.6 hours. Clinical manifestations: intestinal obstruction in 24 cases, peritonitis in 3 cases, 2 cases of lower gastrointestinal bleeding, combined shock in 4 cases Surgical methods: 10 cases of right colon resection, 3 cases of left colon resection, 8 cases of sigmoidectomy, 4 cases of transverse colon and 4 cases of colon resection. Pathological diagnosis: 28 cases of adenocarcinoma, 1 case of carcinoid. The incidence of postoperative total complications was 10.3%. Incision infection was found in 2 patients. A 58-year-old male patient suffered severe hypoalbuminemia and developed anastomotic leakage five days after surgery.