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结肠癌并肠梗阻的外科治疗
THE SURGICAL TREATMENT OF THE COLON CANCER WITH OBSTRUCTION
【摘要】 报道结肠癌并肠梗阻55例,占同期结肠癌的53.4%。右侧结肠占83.3%,与国内外文献均不一致。C、D期占74.5%。急症手术27例,一期切除率48.1%,一期切除组手术死亡率及吻合口瘘发生率均为7.7%。作者认为对结肠癌并肠梗阻急症手术者只要病人情况允许,病灶尚能切除者应以一期切除为首选。
【Abstract】 Fifty five cases of colon cancer with obstruction were reported in this paper,and theywere 53.3% of the colon cancer of the corresponding period.In this series,83.3% of the le-sion located at the right side of the colon and that was different from national and interna-tional literatures.Accorrding to the stage,74.5%of them belonged to Dukes C or D stage,and 27 cases were given emergency surgery, while 48.1% of their tumor were primarily re-moved.The mortality and anastomatic leak were 7.7%respectively in those given primaryresection.Authors suggest that a primary resection of the tumor should be tried for the pa-tients with obstructive colon cancer during the emergency operation if the lesion can be re-move
- 【文献出处】 川北医学院学报 ,JOURNAL OF NORTH SICHUAN MEDICAL COLLEGE , 编辑部邮箱 ,1995年04期
- 【分类号】R735.35
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