Emergency Resection and Reconstruction in Obstructive Colorectal Cancer

In conducting emergency resection and reconstruction in obstructive colorectal cancer in the last 17 years, we have treated 215 cases. Emergency resection and reconstruction were required in 158 cases (73.5%), and leakage occurred in only 5 (3.2%). Hartmann's operation was done in 42 cases of a...

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Published inNihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) Vol. 25; no. 3; pp. 509 - 512
Main Authors Umeki, Masahiko, Ohishi, Tatsurou, Mori, Hiroki, Koyama, Takashi, Kitade, Takashi, Hatta, Takeshi, Takahashi, Hideyuki, Tanaka, Akiko, Omura, Atsushi, Chikakiyo, Motoya, Kurisu, Shigeru, Sugimoto, Takaki
Format Journal Article
LanguageJapanese
Published Japanese Society for Abdominal Emergency Medicine 2005
日本腹部救急医学会
Subjects
一期的切除再建術
大腸癌イレウス
閉塞性大腸癌
Online AccessGet full text
ISSN1340-2242
1882-4781
DOI10.11231/jaem1993.25.509

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Abstract In conducting emergency resection and reconstruction in obstructive colorectal cancer in the last 17 years, we have treated 215 cases. Emergency resection and reconstruction were required in 158 cases (73.5%), and leakage occurred in only 5 (3.2%). Hartmann's operation was done in 42 cases of advanced carcinoma or very poor general condition. Colostomy was done in 9 and later resection in 5. Rectal amputation was done in 6, including 2 after transanal tube decompression. Surgical mortality was 1.9%, with 211 cases were discharged with remission.
AbstractList In conducting emergency resection and reconstruction in obstructive colorectal cancer in the last 17 years, we have treated 215 cases. Emergency resection and reconstruction were required in 158 cases (73.5%), and leakage occurred in only 5 (3.2%). Hartmann's operation was done in 42 cases of advanced carcinoma or very poor general condition. Colostomy was done in 9 and later resection in 5. Rectal amputation was done in 6, including 2 after transanal tube decompression. Surgical mortality was 1.9%, with 211 cases were discharged with remission.
In conducting emergency resection and reconstruction in obstructive colorectal cancer in the last 17 years, we have treated 215 cases. Emergency resection and reconstruction were required in 158 cases (73.5%), and leakage occurred in only 5 (3.2%). Hartmann's operation was done in 42 cases of advanced carcinoma or very poor general condition. Colostomy was done in 9 and later resection in 5. Rectal amputation was done in 6, including 2 after transanal tube decompression. Surgical mortality was 1.9%, with 211 cases were discharged with remission. 閉塞性大腸癌に対し, (準) 緊急一期的切除再建術を原則とした治療を行ってきたのでその成績について報告する。閉塞性大腸癌は過去17年間で215例経験し, 初回大腸癌手術例の16.2%を占めていた。うち一期的再建は158例73.5%に行われ, 縫合不全の発生は5例3.2%のみであった。癌腫の高度進行, 全身状態などからハルトマン手術が選択されたのは42例, 人工肛門のみが9例でうち後日根治術を行ったものが5例, 直腸切断術は6例でうち2例はチューブ減圧後に施行された。手術直接成績は, 術後30日以内の手術死亡が2例, 入院死亡が2例の4例 (1.9%) が術後在院死亡となったが, 211例 (98.1%) は軽快退院し得た。
Author Sugimoto, Takaki
Chikakiyo, Motoya
Hatta, Takeshi
Umeki, Masahiko
Omura, Atsushi
Kitade, Takashi
Takahashi, Hideyuki
Mori, Hiroki
Kurisu, Shigeru
Ohishi, Tatsurou
Koyama, Takashi
Tanaka, Akiko
Author_FL 八田 健
田中 亜希子
杉本 貴樹
北出 貴嗣
大石 達郎
梅木 雅彦
栗栖 茂
森 大樹
大村 篤史
高橋 英幸
小山 隆司
近清 素也
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DocumentTitleAlternate 閉塞性大腸癌の治療　　閉塞性大腸癌に対する一期的切除再建術
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Journal of Abdominal Emergency Medicine
Nihon Fukubu Kyukyu Igakkai Zasshi
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日本腹部救急医学会
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7) 梅木雅彦, 松田昌三, 栗栖茂ほか: 大腸穿孔の診断と治療成績. 日腹部救急医会誌1999; 19: 437-444.
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2) 山岸茂, 池秀之, 斉藤修治ほか: 閉塞性左側大腸癌に対する一期的切除を目的とした経肛門的イレウス管の意義. 日腹部救急医会誌2004; 24: 1003-1006.
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References_xml – reference: 6) 梅木雅彦, 松田昌三, 栗栖茂ほか: 高齢者大腸癌の特徴と外科的戦略. 日本外科系連合学会誌1999; 24: 715-719.
– reference: 2) 山岸茂, 池秀之, 斉藤修治ほか: 閉塞性左側大腸癌に対する一期的切除を目的とした経肛門的イレウス管の意義. 日腹部救急医会誌2004; 24: 1003-1006.
– reference: 4) 安富正幸, 喜多岡雅典, 久保隆一ほか: 高齢者手術をめぐる諸問題-大腸癌. 外科治療1995; 72: 39-45.
– reference: 3) 斉田芳久, 炭山嘉伸, 長尾二郎: 大腸癌に対するステント治療. 臨床消化器内科2000; 15: 643-648.
– reference: 5) 梅木雅彦, 松田昌三, 橘史朗ほか: 高齢化地域における大腸癌の現状. 日臨外会誌1998; 59: 1736-1742.
– reference: 1) 落合匠, 杉谷通直, 野口肇ほか: 癌性イレウス時における経肛門的腸管減圧術の検討. 日本大腸肛門病会誌1996; 49: 171-174.
– reference: 7) 梅木雅彦, 松田昌三, 栗栖茂ほか: 大腸穿孔の診断と治療成績. 日腹部救急医会誌1999; 19: 437-444.
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SubjectTerms 一期的切除再建術
大腸癌イレウス
閉塞性大腸癌
Title Emergency Resection and Reconstruction in Obstructive Colorectal Cancer
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