摘要
目的探讨浆肌瓣隧道式肠吻合在梗阻性左半结肠癌一期切除吻合术中应用的可行性和安全性及临床疗效。方法对57例左半结肠癌并急性肠梗阻采取术中一期切除、浆肌瓣隧道式肠吻合治疗患者的临床资料进行回顾性分析。结果采用一期切除吻合的57例中,术后切口感染5例,无吻合口漏及腹腔感染发生,无死亡病例。结论浆肌瓣隧道式一期肠吻合既能有效防止吻合口漏发生,又能避免结肠造口及二期手术及给患者带来的痛苦及减轻经济负担,可显著提高患者术后生活质量,是治疗梗阻性左半结肠癌的一种安全有效术式。
Objective To investigate the effectiveness of sero-muscular flap-covering anstomosis for acute obstructive left-colon carcinoma.Methods Clincal data of 57 patients with acute obstructive left-colon carcinoma treated in our department from 2000—2009 were retrospectively analyzed.All of them were treated with one-stage resection and anastomosis with sero-muscular flap-covering.Results Among the 57 cases,no postoperative intestinal fistula,abdominal infection or death occurred,5 were complicanted with wound infection only.Conclusions One-stage resection and anastomosis with sero-muscular flap-covering in patients with acute obstructive left-colon carcinoma is safe and feasible,and can avoid the problems of secondary operation and colostomy.This anastomotic procedure has proved effective in preventing anastomotic fistula after primary resection of acute obstructive carcinoma of left colon.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2010年第10期1126-1128,共3页
China Journal of General Surgery
关键词
结直肠癌
肠梗阻
一期切除吻合
隧道式浆肌瓣
Colonic Neoplasms
Intestinal Obstruction
One-stage Resection
Sero-muscular Flap-covering Anstomosis
