目的:探讨结肠癌并发完全性肠梗阻的手术治疗。方法:以67例结肠癌并完全性肠梗阻手术治疗的结果为依据,从左、右半结肠的手术方式和生存率等方面进行分析和研讨。结果:左、右半结肠癌中行Ⅰ期切除吻合术,术后死亡率分别为31.25%和20%;行造瘘或捷径术的11例,出院后1～2年内相继死亡,Ⅰ期切除吻合的病例生存率明显高于Ⅱ期吻合术的病例。结论:在结肠癌并发完全性肠梗阻时,如果有条件应尽可能施行Ⅰ期切除吻合术,同时要避免本文所述的高危因素。 Objective: To investigate the surgical treatment of colon cancer with complete intestinal obstruction. Methods: Based on the results of surgical treatment of 67 cases of colon cancer and complete intestinal obstruction, the methods and survival rates of the left and right colon were analyzed and discussed. Results: The resection and anastomosis was performed in the patients with left and right colon cancer. The postoperative mortality rates were 31.25% and 20% respectively. In the 11 cases of fistula or shortcut surgery, one died within one to two years after discharge, The case survival rate was significantly higher than the phase Ⅱ anastomosis cases. CONCLUSIONS: In the case of complete bowel obstruction complicated by colon cancer, stage I resection and anastomosis should be performed if possible under the conditions, meanwhile, to avoid the risk factors described in this article.