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目的探讨急性梗阻性左半结肠癌Ⅰ期切除、吻合的可行性。方法采用术中肠管切开减压,近远端肠管顺行灌洗,Ⅰ期肿瘤切除、吻合。结果15例患者除1例吻合口瘘经引流冲洗后治愈,余病例全部Ⅰ期愈合。结论左半结肠癌引起肠梗阻,严格掌握手术适应证,合理围手术期处理,术中肠管减压、灌洗及术后扩肛,Ⅰ期切除吻合术是安全可取的。
Objective To investigate the feasibility of primary resection and anastomosis of acute obstructive left colon cancer. Methods Intraoperative intestinal decompression, proximal and distal bowel lavage, phase Ⅰ tumor resection, anastomosis. Results In 15 cases, 1 case of anastomotic fistula was cured by drainage and irrigation, and all the remaining cases were healed in the first stage. Conclusion Left colon cancer causes ileus, indications of surgical operation strictly, reasonable perioperative management, intraoperative intestinal decompression, lavage and postoperative anal augmentation, stage Ⅰ resection and anastomosis are safe and desirable.