Briskin B S, Smakov G M, Borodin A S, Marchenkov A D
Khirurgiia (Mosk). 1999(5):37-40.
The experience of treatment is available for 404 patients with mechanical obstruction in cancer of the colon. Clinicoroentgenological and ultrasound examinations of the organs of abdominal cavity provided early diagnosis of the disease. Radical operations were carried out in 59.7% of the patients, palliative ones--in 40.3%. Radical right-sided hemicolectomy was completed by creation of ileotransversoanastomosis, in left-sided hemicolectomy it was obligatory to take out both ends of the resected colon (if it is possible technically and later restoration of its continuity is planned), or the operation of Hartmann type was performed. The operation should be completed in bowel decompression by nasointestinal intubation. It should be used the term "resolved" or "unresolved" bowel obstruction after the performance of conservative measures, and the term "partial bowel obstruction" should not be used as it presents formulation of treatment policy and may be the cause of undue delay of the operation.
404例结肠癌机械性梗阻患者有治疗经验。对腹腔器官进行临床X线检查和超声检查可实现疾病的早期诊断。59.7%的患者接受了根治性手术，40.3%的患者接受了姑息性手术。根治性右侧半结肠切除术通过回肠横结肠吻合完成，左侧半结肠切除术必须切除切除结肠的两端（如果技术上可行且计划恢复其连续性），或进行哈特曼式手术。手术应通过鼻肠插管进行肠道减压来完成。在采取保守措施后应使用“解除”或“未解除”肠梗阻这一术语，不应使用“部分肠梗阻”这一术语，因为它体现了治疗策略的制定，且可能导致手术过度延迟。
