目的:探讨右半结肠癌伴肠梗阻的外科治疗方法以及效果.方法:2001年8月-2008年8月87例右半结肠癌伴肠梗阻患者均接受外科手术治疗,60例患者行右半结肠切除术,并行横结肠回肠端端或端侧一期吻合术,其中累及到肝脏的行肝脏肿瘤切除术7例；27例患者行姑息性手术治疗.结果:87例患者手术后并发症发生率为19.54％ (17/87),死亡率1.15％ (1/87),1、3、5年累积存活率分别为94.1％、72.1％、43.0％.单因素分析显示,手术类型、Ducks分期、肿瘤病理类型以及手术方式是影响右半结肠癌伴肠梗阻患者术后存活率的重要因素.结论:对右半结肠癌所引起的肠梗阻的重视对早期发现、早期诊断、早期治疗右半结肠癌具有重要意义,而正确的术中操作以及围手术期的处理对改善患者的生活质量以及提高5年存活率有所裨益.%Objective: To explore the surgical treatment method as well as the effect of the right colon associated with intestinal obstruction. Methods: A retrospective analysis of undergraduate room from August 2001 to August 2008, 87 cases of right colon cancer associated with surgical treatment of intestinal obstruction and prognosis. Results: 87 patients underwent surgical treatment at the undergraduate, 60 cases underwent right hemicolectomy and the parallel transverse colon and ileum end to end or an end side anastomosis, line liver tumors involving the liver resection 7 cases, 27 cases underwent palliative surgical treatment. Post-operative complication rate was 19.54% (17/87), the mortality rate of 1.15% (1/87), 1, 3 and 5-year cumulative survival rates were 94.1 %, 72.1 % and 43.0%, respectively. Univariate analysis showed that: the type of surgery, ducks staging, histological type and surgical impact right colon cancer with intestinal obstruction in patients with postoperative survival. Conclusinon:the emphasis on early detection of bowel obstruction caused by the right colon, early diagnosis, early treatment of right colon cancer has important significance, correct surgery operation and perioperative treatment to improve the quality of life of patients helpful to improve the five-year survival rate.
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