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部分结肠切除术

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In group C, 9 cases underwent total colectomy and partial rectectomy with ileorectal anastomosis.

C组: 采用全结肠和部分直肠切除,行回直肠吻合术治疗9个病例。

The average age was 27.8 years, and there were 47.5% patients with malignant change, the average age of them was 35.9 years. The choice of operative procedures included total proctocolectomy with ileostomy in 60 cases (26.0%), subtotal colectomy+rectal polyposis electrocautery in 63 cases (27.3%), total colectomy or proetocolectomy with ileo-anal anastomosis in 12 cases (5.2%), total colectomy or proctocolertomy with ileal pouch-anal anastomosis in 19 cases (8.2%), subtotal colectomy+rectal mucoscctorny, through the muscular sheath of rectum ileo-anal anastomosis in 22 cases (9.5%), ileal pouch-anal anastomosis in 47 cases (20.3%), and subtotal proctoeoleetomy in 8 cases (3.5%).

术式选择全结肠直肠切除+末端回肠腹壁造口术60例(26.0%),全结肠部分直肠切除+回肠直肠吻合术63例(27.3%),全结肠直肠切除+回肠肛管吻合术12例(5.2%),全结肠直肠切除+回肠储袋肛管吻合术19例(8.2%),全结肠部分直肠切除+残留直肠黏膜剥脱+经直肠肌鞘回肠肛管吻合术22例(9.5%),全结肠部分直肠切除+残留直肠黏膜剥脱+经直肠肌鞘回肠储袋肛管吻合术47例(20.3%),部分结肠或直肠切除术8例(3.5%)。

Results In group A, 5 cases underwent elective colectomy. Half year after operation, 3 cases with normal defecation, 2 with constipations relapse. In group B, 8 cases underwent subtotal colectomy and partial rectectomy with cecorectal anastomosis. One with constipations relapse, other patients had 37 times of defecation per day after half year of operation.

结果 A组:采用选择性结肠肠段切除术治疗5例,术后半年内随访,3例大便正常,但有2例便秘复发。B组:采用结肠次全切除和部分直肠切除,行盲直肠吻合术治疗8例,有1例术后半年内便秘复发,其他患者术后半年内排便次数为3~7次/d。

Results:Two patients were performed total laparoscopy successfully for the resection of total colon and partial rectum,1 case for subtotal colectomy,7 cases for sigmoidectomy and 10 cases for proctectomy.The mean operative blood loss and operative time were 116.5ml and 183.5min respectively.

结果:行完全腹腔镜全结肠部分直肠切除术2例,次全结肠切除术1例,乙状结肠癌根治性切除术6例,乙状结肠癌姑息性切除术1例,直肠癌根治性切除术10例。

Period,12 cases defecated normally,18 cases undergoing internal sphincter myomectomy and 30 cases undergoing radical excision had good restoration.

结果 均顺利渡过最初危险期,其中12例排便恢复正常;18例行内括约肌部分切除术;30例行巨结肠根治术,术后均恢复良好。

Results Among the 60 cases, all patients past the first riskperiod,12 cases defecated normally,18 cases undergoing internal sphincter myomectomy and 30 cases undergoing radical excision had good restoration.

结果 均顺利渡过最初危险期,其中12例排便恢复正常;18例行内括约肌部分切除术;30例行巨结肠根治术,术后均恢复良好。

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