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术中结肠灌洗在左半结肠癌伴肠梗阻一期切除吻合术中的应用

[Application of intraoperative colon irrigation in primary resection and anastomosis of left colorectal cancer with intestinal obstruction].

作者信息

Pan Chun-Qiu, Zhou Wang-mei, Yu Bi-xiang, Zeng Can-hui, Han Shu-ling

机构信息

Department of Emergency Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2010 Mar;30(3):605-7.

PMID:20335151
Abstract

OBJECTIVE

To study the application of intraoperative irrigation of the colon in primary resection and anastomosis of left colorectal cancer with intestinal obstruction.

METHODS

The clinical data were analyzed in 58 patients with left colon rectal cancer and intestinal obstruction undergoing intraoperative irrigation of the colon for primary anastomosis, and the results were compared with 58 patients receiving conventional primary tumor resection.

RESULTS

The mean intraoperative blood loss or postoperative hospital stay was comparable between the two groups, but the patients undergoing colon irrigation had significantly delays in the recovery of bowel movement.

CONCLUSION

With strict control of the surgery indication, intraoperative colon irrigation can be safe and feasible in primary resection and anastomosis of left colorectal cancer with intestinal obstruction.

摘要

目的

探讨术中结肠灌洗在左半结肠癌伴肠梗阻一期切除吻合术中的应用。

方法

分析58例左半结肠癌伴肠梗阻患者行术中结肠灌洗一期吻合术的临床资料,并与58例行传统肿瘤一期切除患者的结果进行比较。

结果

两组患者术中平均失血量和术后住院时间相近,但行结肠灌洗的患者肠蠕动恢复明显延迟。

结论

严格掌握手术适应证,术中结肠灌洗应用于左半结肠癌伴肠梗阻一期切除吻合术安全可行。

相似文献

1
[Application of intraoperative colon irrigation in primary resection and anastomosis of left colorectal cancer with intestinal obstruction].术中结肠灌洗在左半结肠癌伴肠梗阻一期切除吻合术中的应用
Nan Fang Yi Ke Da Xue Xue Bao. 2010 Mar;30(3):605-7.
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One-stage segmental colectomy and primary anastomosis after intraoperative colonic irrigation and total colonoscopy for patients with obstruction due to left-sided colorectal cancer.一期节段性结肠切除术和一期吻合术在术中结肠灌洗和全结肠镜检查后的左侧结直肠癌梗阻患者中的应用。
Dis Colon Rectum. 2012 Jan;55(1):72-8. doi: 10.1097/DCR.0b013e318239be5e.
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Minerva Chir. 1993 Feb;48(3-4):133-6.
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Prospective, randomized trial comparing intraoperative colonic irrigation with manual decompression only for obstructed left-sided colorectal cancer.比较术中结肠灌洗与单纯手动减压治疗梗阻性左侧结直肠癌的前瞻性随机试验。
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[Primary resection of obstructive left-sided colon and rectal tumors without intraoperative lavage].不进行术中灌洗的梗阻性左侧结肠和直肠肿瘤一期切除
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