镍钛记忆合金支架与腹腔镜手术联合治疗结直肠癌伴肠梗阻34例分析 |
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引用本文: | 尚培中,贾国洪,苗建军,李晓武,李永庆,朱习琴,南润玲.镍钛记忆合金支架与腹腔镜手术联合治疗结直肠癌伴肠梗阻34例分析[J].中华普外科手术学杂志(电子版),2010,4(4):33-35. |
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作者姓名: | 尚培中 贾国洪 苗建军 李晓武 李永庆 朱习琴 南润玲 |
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作者单位: | 解放军第251医院普通外科,河北省张家口,075000 |
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摘 要: | 目的探讨结直肠癌伴肠梗阻微创治疗新方法。方法对结直肠癌伴肠梗阻34例患者,先在结肠镜引导下置入记忆合金肠道支架解除梗阻,再经充分肠道准备后,腹腔镜下施行根治性切除手术。结果 34例患者手术时间160~340min,平均210min;术后胃肠功能恢复时间2~4d,平均2.1d。术后出现吻合口漏1例,切口感染2例,经保守治疗治愈。TNMⅡ期患者5例,术后住院7~12d,平均8.2d;Ⅲ~Ⅳ期患者29例,术后5-FU/LV或FOLFOX4方案化疗。随访26例,时间3~36个月,平均15个月,1例死于广泛转移,其他25例无局部复发、切口肿瘤种植及吻合口狭窄。结论记忆合金支架与腹腔镜手术联合治疗结直肠癌伴肠梗阻具有微创、安全、恢复快、疗效好等优点,值得临床推广应用。
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关 键 词: | 结直肠肿瘤 肠梗阻 支架 腹腔镜检查 |
Combined therapy of colonic stent insertion and laparoscopic surgery for the management of intestinal obstruction caused by colorectal cancer |
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Authors: | SHANG Pei-zhong JIA Guo-hong MIAO Jian-jun LI Xiao-wu LI Yong-qing ZHU Xi-qin NAN Run-ling |
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Affiliation: | SHANG Pei-zhong,JIA Guo-hong,MIAO Jian-jun,LI Xiao-wu,LI Yong-qing,ZHU Xi-qin,NAN Run-ling.Department of General Surgery,The 251th Hospital of PLA,Zhangjiakou 075000,China |
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Abstract: | Objective To investigate new minimal invasive surgery for intestinal obstruction caused by colorectal cancer.Methods Thirty-four patients with malignant colorectal obstruction underwent colonic stent insertion guided by an enteroscope under X-ray.Laparoscopic surgical resection was performed after clinical decompression and preoperative bowel preparation.Results The operative time was 160-340 minutes(average 210 minutes).The time to recovery of bowel function was 2-4 days(average 2.1 days).One patient exper... |
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Keywords: | Colorectal neoplasms Intestinal obstruction Stent Laparoscopy |
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