Di Natale I
Chir Ital. 1983 Dec;35(6):1026-32.
The experience concerning 44 cases of large intestine cancer operated in emergency is reported. For the right colon perforated cancers, the surgical solution effected is hemicolectomy and immediate anastomosis for the cases with smallest contamination, hemicolectomy with ileostomy and colonic mucous fistula for the cases with diffused peritonitis. As to left colon perforated cancers, the operations performed are rectocolonic resection according to Hartmann and resection with anastomosis of colonic ends to cutis, depending on the place of the perforated neoplasm. For right colon cancers in occlusive stage, hemicolectomy is performed, whereas, for left colon ones, rectocolectomy according to Hartmann is effected. The postoperative mortality was 16,6%, the percentage of complications was 25% for right colon cancers and 27,7% for left colon ones.
报告了44例急诊手术的大肠癌病例的经验。对于右半结肠穿孔癌,手术方案为:污染最轻的病例行半结肠切除术并立即吻合;弥漫性腹膜炎病例行半结肠切除术加回肠造口术和结肠黏液瘘。至于左半结肠穿孔癌,根据穿孔肿瘤的部位,手术方式为Hartmann直肠结肠切除术或结肠两端与皮肤吻合的切除术。对于梗阻期右半结肠癌,行半结肠切除术;而对于左半结肠癌,则行Hartmann直肠结肠切除术。术后死亡率为16.6%,右半结肠癌的并发症发生率为25%,左半结肠癌为27.7%。