【作者】 段秀庆； 张伟辉； 薛东波； 林乐岷； 宋春芳；

【Author】 Duan Xiuqing et al. The General Surgical Department of First Medical College, Harbin Medical University

【机构】 哈尔滨医科大学第一临床医学院普外科；

【摘要】 42例结肠癌性肠梗阻患者,31例行一期切除吻合,9例行改良Hartmann手术,2例行单纯结肠造瘘。作者认为,在条件许可时,应争取一期切除吻合或改良Hartmann手术。严格掌握手术适应性,术中安全吻合与结肠减压,及正确的围手术期处理是防止发生吻合口瘘的关键。更多还原

【Abstract】 Fourty—two cases with obstructive colonic cancer were reported. Thirty—one of them were subjected to primary resection and anastomosis, Nine of them received modified Hartmann operation, The other two cases got simple colostomy. The authors believe that the primary resection and anastomosis or modified Hartmann operation should be performed, if conditions permit. Strict master of the operation indications, safety anastomosis and colon decompression during the operation, and correct perioperative management are key to prevent anastomotic leakage.更多还原