Carson S N, Poticha S M, Shields T W
Arch Surg. 1977 Apr;112(4):523-6. doi: 10.1001/archsurg.1977.01370040175027.
The clinical course, operative treatment, and results of 129 patients with carcinoma obstructing the left side of the colon were reviewed. There were 64 cases of incomplete obstruction, all secondary to primary adenocarcinoma of the colon. Sixty-five patients had complete obstruction; 37 of these had primary adenocarcinoma of the colon, and the rest, cancer from other primary sites, largely the genitourinary tract. The operations involving colostomy only or colostomy as part of a staged resection resulted in high operative mortality and low long-term survival, in addition to a high rate of postoperative sepsis. Results of operations involving primary resection of obstructing tumor were superior in all the above factors studied.
回顾了129例左侧结肠癌梗阻患者的临床病程、手术治疗及结果。其中不完全性梗阻64例，均继发于结肠原发性腺癌。65例为完全性梗阻；其中37例为结肠原发性腺癌，其余为其他原发部位的癌，主要是泌尿生殖道癌。单纯行结肠造口术或作为分期切除一部分的结肠造口术，手术死亡率高，长期生存率低，且术后脓毒症发生率高。在上述所有研究因素方面，对梗阻性肿瘤进行一期切除的手术结果更优。
