大腸癌イレウス症例の検討

概要

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One hundred and forty-three patients with colorectal cancer were operated on during the 10-year period between 1978 and 1988. A clinical study was conducted on 34 patients (23.8%) who had symptoms of acute obstruction of the large bowel. Obstruction frequently occurred in the odler age group (mean, 71.2 years) and on the left side colon. <BR>The resectability rate was 76.5% and the curability rate was 50.0%, both being significantly lower than non-obstructed cases, because the obstructed cases were advanced in the pathological stage. <BR>The cumulative five-year survival rate was 36.4% of all cases, resectable cases 44.9%, and curative cases 67.3%. Those rates were lower than non-obstructed cases, but not significantly. Emergency operations because of panperitonitis sign and increased bowel gas were performed for 27 cases. The staged operation was most common method applicable to there cases, because they showed a poor general condition and enlarged bowel. <BR>The primary resection could be performed for conservative cases, but most of the obstructed colorectal cancer patients received emergency operations. We conclude that for emergency cases staged radical operation should be performed due to general and bowel conditions.
日本大腸肛門病学会の論文