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1、结肠次全切除、逆蠕动盲直吻合术在结肠癌手术中的运用杜华军1(通讯作者)吴之坤1曹楚潇1乐来平2汪名飞2江从庆2陶琦3钱群2(1湖北省荆门市石化医院<市中医院>普外科448000)(2武汉大学中南医院结直肠肛门外科430071)(3荆州市长江大学附属第一医院肛肠外科434000)【摘要】目的探讨结肠次全切除、逆蠕动盲肓吻合术治疗结肠多原发癌和梗阻性左半结肠癌的疗效。方法回顾性分析一期或分期行结肠次全切除、逆蠕动盲直吻合术治疗的12例同时性结肠多原发癌、梗阻性左半结肠癌以及结肠癌伴多发腺瘤患者的临床资料。结果
2、所有患者无吻合口痿等严重并发症发生,无手术死亡病例。随访2年(1-3年),2例患者发生肝、肺远处转移,其中1例于术后16月死亡,其余患者未发现复发和转移。术后一年日平均大便次数2(1-3)次,Wexner肛门失禁评分4.0±1.2o结论结肠次全切除、逆蠕动盲育•吻合术是治疗结肠多原发癌和梗阻性左半结肠癌的一种安全、有效的术式,但长期肿瘤学疗效需进一步证实。【关键词】结肠全切除术结肠多原发癌肠梗阻【中图分类号】R730.5【文献标识码】A【文章编号】1672-5085(2013)43-0029-02App
3、licationofsubtotalcolectomywithantiperistalticcecoproctostomyincoloncancersurgey.DUHua-jun,WUZhi-kun,CAOChu-xiao,LELai-ping,WANGMing-hui,JIANGCong-qing,TAOQi,QIANQun.DepartmentofGeneralSurgery,JingmenShihuaHospital,Jingmen448000,China,DepartmentofColorectalSurg
4、eryOfZhongnanHospitalWuhan,430071,China,DepartmentofGeneralSurgery,JingmenShihuaHospital,Jingmen448000,ChinaCorrespondingauthor:DUHua-jun,E・mail:dhj・511@sohu.com[Abstract]ObjectiveToassessfunctionaloutcomeofsubtotalcolectomywithantiperistalticcecoproctostomyint
5、hetreatmentforsynchornouscoloncancerandobstructiveleftcoloncancer.MethodsWeretrospectivelyanalyzedthedatafrom12patientswhounderwentone-stageortwo-stagedsubtotalcolectomywithantiperistalticcecoproctostomyforsynchornouscoloncancerandobstructiveleftcoloncancer.Res
6、ultsTherewasnosurgicalmortality・Nopatienthadanastomoticleakage・Allpatientswerefollowedupfor1-3years(median,2years).Twopatientsexperieneedliverandlungmetastasis,andoneofthemdiedonthe16monthafteroperation.Oneyearafteroperation,thenumberofdailybowelmovementsare1-3
7、times(median,2times).TheWexnercontinencescoreswere4・0±1.2.ConclusionsSubtotalcolectomywithantiperistalticcecoproctostomyisasafeandeffectiveinthetreatmentofsynchornouscoloncancerandobstructiveleftcoloncancer.TheIong-termoncologicalresultsneedtobefurtherco
8、nfirmed.【Keywords]Subtotalcolectomysynchornouscoloncancercecoproctostomy结肠次全切除、逆蠕动盲直吻合术是指结肠次全切除后,以盲肠底部与直肠行端端或端侧吻合。我们在国内报道了结肠次全切除、逆蠕动盲直吻合术治疗结肠慢传输型便秘的良好疗效[1,2]o关于该术式在结肠癌手术治疗的应