Maghetti F, Fabiani P
Istituto di Chirurgia Generale, Università degli Studi di Trieste.
Ann Ital Chir. 1996 Mar-Apr;67(2):177-85.
The 20% of the case of Large bowel neoplasia needs an emergency surgical act because of its complications. The most frequent is large bowel occlusion followed by perforation, fistula and haemorrhage. The different possibilities of surgical treatment depend either on the type and the site of the complication but mostly on the general conditions of the patients and on his associated pathology. A careful evaluation of all these factors is the only way to determine which surgical treatment to practise and which is the risk the patient will undergo. In the last years, thanks to a deeper acknowledgment on pathophysiology and a better surgical technique, resection anastomosis surgery has taken more and more place decreasing dramatically mortality and morbidity of this surgery.
20%的大肠肿瘤病例因并发症需要进行急诊手术。最常见的是大肠梗阻,其次是穿孔、瘘管和出血。手术治疗的不同可能性取决于并发症的类型和部位,但主要取决于患者的一般状况及其合并的病理情况。对所有这些因素进行仔细评估是确定实施何种手术治疗以及患者将面临何种风险的唯一方法。在过去几年中,由于对病理生理学有了更深入的认识以及手术技术的改进,切除吻合术越来越多地被采用,从而显著降低了该手术的死亡率和发病率。