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[伴有炎症过程的结肠癌的手术策略]

[Surgical tactics in cancer of the colon complicated by the inflammatory process].

作者信息

Ganichkin A M, Iaitskiĭ N A, Kitsaĭ T A

出版信息

Vestn Khir Im I I Grek. 1988 Jan;140(1):55-7.

PMID:3381403
Abstract

Patients with mild forms of inflammatory complications of carcinoma of the colon should be operated upon after completing the complex conservative treatment with the application of antibiotics and in subsided acute inflammatory process. Radical operations must be performed at the first stage of the surgical treatment of the patients. Such complications as perifocal abscesses, perforation of the tumor, diastatic perforations are considered to be contraindications to a one-step reestablishment of the colonic continuity after left-side resections. Lethality among radically operated patients with carcinoma of the colon complicated by an inflammation or perforation made up 25%.

摘要

患有轻度结肠炎性并发症的患者,应在完成使用抗生素的综合保守治疗且急性炎症消退后进行手术。根治性手术必须在患者手术治疗的第一阶段进行。诸如局灶性脓肿、肿瘤穿孔、扩展性穿孔等并发症被认为是左侧切除术后一期重建结肠连续性的禁忌证。患有合并炎症或穿孔的结肠癌且接受根治性手术的患者死亡率为25%。

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