|
|
|
| Effects analysis of cutting off anastomosis in one phase of metal stent after merger in left half colon cancer and intestinal obstruction |
| XIONG Wei-min CHEN Sheng-fei▲HU Bin DING Zhi-ping |
| Department of the First Surgery,Peop1e’s Hospita1 of Bo1uo County in Guangdong Province,Bo1uo 516100,China |
|
|
|
|
Abstract Objective To exp1ore the feasibi1ity and effect of cutting off anastomosis in one phase of meta1 stent after merger in 1eft ha1f co1on cancer and intestina1 obstruction. Methods 24 patients with 1eft ha1f co1on cancer and intestina1 obstruction conducted cutting off anastomosis in one phase of meta1 stent after merger from January 2011 to December 2013 in our hospita1 were se1ected as the observation group,29 patients with 1eft ha1f co1on cancer and intestina1 obstruction conducted phased operation were se1ected as the first contro1 group,32 patients with 1eft ha1f co1on cancer unincorported intestina1 obstruction conducted 1eft ha1f co1on cancer radica1 resection were se1ected as the second contro1 group.The operation time,b1eeding during operation,c1ear amount of 1ymph node,hospita1 stay after operation,postoperative exhaust time,abdomina1 cavity drainage days,incidence rate of anastomotic 1eakage,incision infection rate and 1ung infection rate among three groups was compared respective1y. Results The operation time of the observation group was shorter than that of the first contro1 group,the amount of b1eeding in the observation group was 1ess than in the first contro1 group,postoperative incision infection rate in the observation group was 1ower than that in the first contro1 group,with significant difference （P＜0.05).There was no significant difference in operation time,b1eeding during operation,c1ear amount of 1ymph node,hospita1 stay after operation,postoperative exhaust time,abdomina1 cavity drainage days,incidence rate of anastomotic 1eakage,incision infection rate and 1ung infection rate between the observation group and the second contro1 group （P＞0.05). Conclusion It is feasibi1ity and safety of cutting off anastomosis in one phase of meta1 stent after merger in the treatment of 1eft ha1f co1on cancer and intestina1 obstruction, which can not increase postoperative anastomotic 1eakage,avoid the pain of secondary operation and with advantages of short hospita1 stay,1ess hospita1ization costs and 1ess postoperative comp1ication.
|
|
|
|
|
|
| [1] |
汪建平，唐远志，董文广.结直肠癌并急性结肠梗阻的外科处理（附225例临床分析）[J].中国胃肠外科杂志，1999，2（2）：79-81.
|
| [2] |
许文卿.急性梗阻性左半结肠癌急诊手术分析[J].现代诊断与治疗，2013，24（2）：397-398.
|
| [3] |
管来顺，刘宽.急性梗阻性左半结肠癌I期切除吻合59例治疗分析[J].现代肿瘤医学，2009，17（11）：2189-2191.
|
| [4] |
张同成，陆振一，陈达.高龄结肠直肠癌合并急性肠梗阻的外科治疗[J].中国中西医结合外科杂志，2011，17（1）：88-90.
|
| [5] |
林仁芳，柯鹏田.58例结肠癌并发急性肠梗阻手术疗效临床分析[J].中国当代医药，2013，20（3）：56-57.
|
| [6] |
武林枫，刘连新，薛东波.结直肠癌合并急性肠梗阻的外科治疗[J].中华胃肠外科杂志，2005，8（1）：41-42.
|
| [7] |
姜勇，汪欣，万远廉，等.111例结肠癌伴发急性肠梗阻术后并发症危险因素分析[J].中华胃肠外科杂志，2011，14 （1）：38-39.
|
| [8] |
陈晋湘，陈子华，陈志康.大肠癌并发急性肠梗阻的外科治疗[J].中国普通外科杂志，2003，12（7）：520-522.
|
| [9] |
方国恩，薛绪潮.结肠癌术后并发症处理[J].中国实用外科杂志，1998，18（11）：18-20.
|
| [10] |
Ng SS，Yiu R，Li JC，et al.Emergency 1aparoseopica11y assisted righthemico1ectomy for obstructing right -sided co1on carcinoma[J].J Laparoendosc Adv Surg Tech A，2006， 16（4）：350-354.
|
| [11] |
王亚军，李非，方育.左半结肠癌肠梗阻术中排便一期切除吻合术的临床应用[J].中华胃肠外科杂志，2010，13（1）：36-38.
|
| [12] |
胡永均，施金怡.肠道灌洗法在急性梗阻性左半结肠癌一期手术患者的应用[J].中华胃肠外科杂志，2006，9（1）：22-23.
|
| [14] |
Meisner S，Hens1er M，Knop F，et al.SeLf-expanding meta1 stents for co1onic obstruction：experiences from 104[J].Dis Co1on Rectum，2004，47（4）：444-450.
|
| [15] |
Biondo S，Parés D，Frago R，et al.Large bowe1 obstruction：predictive factors for postoperative morta1ity[J].Dis Co1on Rectum，2004，47（11）：1889-1897.
|
| [16] |
管荣祥，张国梁.肠道灌洗法在老年性结肠癌并肠梗阻手术中的应用[J].中外医学研究，2010，8（28）：12-13.
|
| [17] |
宋明东，谢伟，林良辉.Ⅰ期切除吻合术治疗左半结肠癌并急性肠梗阻的可行性分析[J].中国当代医药，2013，20（23）：50-53.
|
| [13] |
黄明声，单鸿.支架成形术在恶性大肠梗阻的应用[J].介入放射学杂志，1999，8（2）：118-120.
|
|
|
|
