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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.

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。

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