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目的 探讨大肠癌并低位急性肠梗阻I期手术切除吻合的安全性及可行性。方法 回顾性分析 32例大肠癌并低位急性肠梗阻I期手术的临床资料及手术体会,结合文献探讨大肠癌并低位急性肠梗阻I期手术的适应症及围手术期处理。结果32例大肠癌井低位急性肠梗阻I期手术切除吻合,其中29例无吻合口漏及其他并发症,2例发生吻合口漏,经引流、支持治疗获痊愈,I例术后早期死于中毒性休克。结论 大肠癌并低位急性肠梗阻只要严格掌握适应症,做好术前、术中、术后处理,I期手术切除吻合是安全的。
Objective To investigate the safety and feasibility of resection and anastomosis for colorectal cancer with low acute intestinal obstruction. Methods Retrospective analysis of 32 cases of colorectal cancer with low acute intestinal obstruction in the clinical data and surgical experience, combined with the literature to explore the colorectal cancer with low acute intestinal obstruction I phase surgery indications and perioperative management. Results A total of 32 cases of colorectal cancer with low acute intestinal obstruction were resected and anastomosed. Among them, 29 cases had no anastomotic leakage and other complications, 2 cases had anastomotic leakage, and were cured by drainage and supportive therapy. One case died early Toxic shock. Conclusion Colorectal cancer with low acute intestinal obstruction as long as the strict indications, preoperative, intraoperative and postoperative management, surgical resection and anastomosis is safe.