Left colorectal cancer and 16 cases of low intestinal obstruction.docVIP

 PAGE \* MERGEFORMAT 11 Left colorectal cancer and 16 cases of low intestinal obstruction [Keywords:] left colorectal cancer, intestinal obstruction, an intestinal resection and anastomosis Left colorectal cancer and low intestinal obstruction, the condition more complex, prone to pathological changes of systemic, surgical risk, easily lead to serious consequences. The author of our hospital were treated from 1994 to 2005, colorectal cancer and 16 cases of left lower Clinical data from cases of intestinal obstruction were retrospectively analyzed, are as follows. Clinical data 1. General Information The group of 12 males and 4 females, the oldest were 81 years old, the smallest in 42 years, 11 cases more than 60 years of age, accounting for 68.7%. Tumor location: colonic splenic flexure in 2 cases, 5 cases of descending colon, sigmoid colon in 6 cases the rectum in 3 patients. pathology: mucinous adenocarcinoma in 2 cases, 11 cases of adenocarcinoma, 1 case of India and cover cell carcinoma, undifferentiated carcinoma in 2 cases. Dukes stage: B of 4 cases, C of the 10 cases, D of 2 cases. 2. Surgical methods Resection of a left colon anastomosis in 8 cases, a sigmoid resection and anastomosis in 3 cases, anterior resection of rectal cancer in 2 cases an anastomosis, Hartmann, s operation in 1 case, 2 cases of colostomy. 3. Findings and outcome 1 case of a resection anastomosis 5 days after the first occurrence of anastomotic leakage, cured by conservative treatment, excision of more than one case of intestinal anastomosis healed without serious complications and deaths in 1 case Hartmann, s surgery , two off the line three months after intestinal stoma reconstruction, patients discharged .2 D of the case only for palliative colostomy, all died within 1 year after surgery. Discussion Merge Left colorectal cancer surgery common acute abdomen is low intestinal obstruction, is one of the most common causes of intestinal obstruction