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目的 探讨左半结肠癌并急性肠梗阻Ⅰ期手术疗效和安全性。方法 回顾性分析 1995 - 2 0 0 0年 30例患者采取术中肠道顺行灌洗 ,Ⅰ期癌肿切除肠吻合术 16例 ,术中肠道减压 ,Ⅰ期癌肿切除肠吻合术 14例。结果 全部病例均获痊愈 ,伤口感染 3例 ,无肠吻合口漏。结论 大肠癌 (包括左半结肠癌 )急性梗阻经严格掌握适应症 ,完善围手术期和术中处理 ,Ⅰ期手术吻合是安全可行的。
Objective To investigate the efficacy and safety of stage Ⅰ surgical treatment of left colon cancer with acute intestinal obstruction. Methods Retrospective analysis of 30 patients between 1995 and 2000, intraoperative intestinal transit laparoscopic resection of Ⅰ anastomosis in 16 cases of intestinal anastomosis, intraoperative decompression, Ⅰ phase resection of intestinal anastomosis 14 cases. Results All cases were cured, wound infection in 3 cases, no anastomotic leakage. Conclusions Acute obstruction of colorectal cancer (including left colon cancer) can be controlled strictly and perioperatively and intraoperatively. It is safe and feasible for stage Ⅰ surgical anastomosis.