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目的:评价扩大右半结肠切除术治疗横结肠癌合并梗阻的可行性。方法:回顾性分析2008年9月至2013年9月我院32例行扩大右半结肠切除术的横结肠癌合并梗阻患者的临床资料。结果:32例手术均获成功,手术时间为(175±34)min,出血量(82±14)ml,胃肠功能恢复时间(4.0±0.2)d,术后住院时间(11±2.1)d;均无严重并发症发生。22例患者随访5-58个月,10例失访,4例术后2年内发现肝转移,1例术后6月发现腹腔转移。结论:扩大右半结肠根治术治疗横结肠癌合并梗阻安全有效。
Objective: To evaluate the feasibility of expanding right hemilectomy for the treatment of transverse colon cancer complicated with obstruction. Methods: The clinical data of 32 patients with transverse colon cancer complicated with obstruction who underwent right partial hemicolectomy in our hospital from September 2008 to September 2013 were retrospectively analyzed. Results: All the 32 surgeries were successful. The operative time was (175 ± 34) min, the bleeding volume was 82 ± 14 ml, the recovery time of gastrointestinal function was 4.0 ± 0.2 days, the postoperative hospital stay was 11 ± 2.1 days No serious complications occurred. Twenty-two patients were followed up for 5-58 months. Ten patients were lost to follow-up. Four patients were found to have liver metastasis within two years after operation, and one patient had abdominal metastasis within six months after operation. Conclusions: It is safe and effective to enlarge the right colon resection for the treatment of transverse colon cancer complicated with obstruction.