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目的 总结左半结肠癌伴急性肠梗阻病人施行Ⅰ期切除吻合术的经验。方法 开腹切除结肠肿瘤后,将近段肠内容物尽量排除;切除阑尾,于其残端置入Foley氏导尿管,缓慢注入温盐水1000ml～2000ml(加入甲硝唑250ml、庆大霉素24万u)灌洗,直至肠内容物清亮为止。Foley氏导尿管由右下腹壁拉出,术后间断负压吸引,术后10～15天拨除。结果 通过上述方法处置12例,除1例切口轻度感染外,其余病人术后经过顺利。结论 对于左半结肠癌伴急性梗阻病人应用上述方法施行Ⅰ期切除吻合术,我们体会此法安全、简便易行。
Objective To summarize the experience of performing stage I resection and anastomosis in patients with left colon cancer and acute intestinal obstruction. Methods After the colon cancer was removed by open surgery, the intestinal contents were excluded as far as possible; the appendix was removed, and the Foley catheter was placed on the stump, and then the warm saline solution was gently injected into 1000 ml to 2000 ml (addition of metronidazole 250 ml, gentamicin 24). Million u) lavage until the bowel contents are clear. Foley’s catheter was pulled out from the right lower abdominal wall and was intermittently suctioned after surgery. The catheter was removed 10 to 15 days after operation. Results Twelve patients were treated by the above method. In addition to mild incision in one patient, the rest of the patients passed the operation smoothly. Conclusion For patients with left-sided colorectal cancer and acute obstruction, the above-mentioned methods were used to perform a stage I resection and anastomosis. We understand that this method is safe and easy.