论文部分内容阅读
目的探讨老年人结肠癌合并急性肠梗阻手术方式效果。方法 50例老年结肠癌并发急性肠梗阻患者,分别采用左半结肠Ⅰ期切除吻合、右半结肠Ⅰ期切除吻合、回结肠吻合术、肿瘤近端肠管造瘘术。结果 50例中术后发生并发症13例,发生率为26.0%,其中感染中毒性休克2例,肺部感染4例,吻合口漏2例,切口感染、裂开2例。死亡3例,死亡率为6.0%。结论结肠癌急性梗阻,右半结肠Ⅰ期切除吻合并发症少,安全可行。老年人结肠癌急性肠梗阻应根据具体情况选择术式。
Objective To investigate the effect of surgical treatment of colon cancer complicated with acute intestinal obstruction in the elderly. Methods Fifty cases of elderly patients with colon cancer complicated with acute intestinal obstruction were treated with stage Ⅰ resection and anastomosis of the left half colon, stage Ⅰ resection and anastomosis of the right half colon, back colon anastomosis and proximal bowel ostomy. Results Among the 50 cases, 13 cases occurred postoperative complications, the incidence was 26.0%. Among them, 2 cases were infected with toxic shock, 4 cases were pulmonary infection, 2 cases were anastomotic leakage, incision infection and split in 2 cases. 3 died, the death rate was 6.0%. Conclusions Acute obstruction of colon cancer and resection and anastomosis of right colon in the first stage are few and safe and feasible. Colon cancer in elderly patients with acute intestinal obstruction should be based on the specific circumstances choose surgery.