顺行性回肠管状造瘘在结肠癌急性梗阻性I期吻合术中的应用

• 临床论丛 •

顺行性回肠管状造瘘在结肠癌急性梗阻性I期吻合术中的应用

刘贵生

人民医院

收稿日期:2009-11-02 修回日期:2010-01-12 出版日期:2010-09-15 发布日期:2010-09-15
通讯作者: 刘贵生

The Application of anterograde Tubal Typical ileum fistulation for obstructed left–sided colorectal cancer by resection with one-stage anastomosis

Received:2009-11-02 Revised:2010-01-12 Published:2010-09-15 Online:2010-09-15

刘贵生. 顺行性回肠管状造瘘在结肠癌急性梗阻性I期吻合术中的应用[J]. .

摘要/Abstract

摘要： 摘要目的：探讨顺行性回肠管状造瘘在急性梗阻性左半结肠癌I期吻合手术中的临床应用价值。方法：总结2年余应用顺行性回肠管状造瘘在梗阻性左半结肠癌行I期吻合手术的20例临床资料。术中梗阻近端肠管充分减压后按要求切除肿瘤及结直肠，于回肠末端戳孔向回盲部方向置入引流管，缝合固定，灌洗近端结肠，肠管吻合后，回肠引流管于右下腹戳孔引出，与腹壁固定。结果：全组病例无吻合瘘发生，粪便从回肠引流管处转流通畅，拔管后无粪瘘及腹膜炎发生，无手术死亡病例。结论：应用顺行性回肠管状造瘘预防急性梗阻性左半结肠癌I期吻合手术吻合口瘘是安全可行的。

关键词: 回肠管状造瘘术, 梗阻性结直肠癌, 吻合口瘘

Abstract: Abstract Objective: To evaluate the clinic application of anterograde ileum tubal fistulation for obstructed left–sided colorectal cancer by a one-stage resection and an anastomosis. Methods: Studied Clinical data of 20 patients with obstructed left-sided colorectal cancer who underwent ileum tubal fistulation after A one-stage resection and an anastomosis. After the decompressive procedure, A catheter was inserted to terminal segmen of the ileum through the stump, on-table lavage, resection, and primary anastomosis be performed, then the catheter was fixed on abdominal wall.Results: There were no complication such as anastomotic leakage, postoperational stool leakage and peritonitis. The stool diversion was efficient. No deaths occurred. Conclusion: The Application of anterograde Tubal Typical ileum fistulation for obstructed left-sided colorectal cancer by a one- stage resection and an anastomosis was safety and efficient.

Key words: Ileum tubal fistulation, obstructed colorectal, anastomotic leakage