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结肠癌所致肠梗阻的外科治疗

Surgery of Colonic Cancer Complicated by Intestinal Obstruction

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【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。

【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.

  • 【会议录名称】 第六次全国大肠癌会议暨中日韩大肠癌会议论文汇编
  • 【会议名称】第六次全国大肠癌会议暨中日韩大肠癌会议
  • 【会议时间】1998-09
  • 【会议地点】中国黑龙江哈尔滨
  • 【分类号】R735.3
  • 【主办单位】中国抗癌协会大肠癌专业委员会
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