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目的:探讨术中结肠灌洗在左半结肠癌并急性肠梗阻手术中的临床意义。方法:对29例左半结肠癌并急性肠梗阻患者采用术中结肠灌洗一期切除吻合治疗的临床资料进行回顾性分析。结果:采用一期切除吻合术的29例中,无吻合口瘘、腹腔脓肿等严重并发症;无围手术期死亡;术后发生切口感染4例;切口裂开1例。结论:选择好适当的病例,配合手术中结肠灌洗作一期切除吻合,对左半结肠癌并急性肠梗阻的治疗效果是令人满意的。
Objective: To investigate the clinical significance of intraoperative colonic irrigation in left colon cancer with acute intestinal obstruction. Methods: The clinical data of 29 patients with left colon cancer with acute intestinal obstruction who underwent colonic laparoscopic resection and anastomosis were analyzed retrospectively. Results: There was no serious complications such as anastomotic fistula or abdominal abscess in 29 cases of one-stage resection and anastomosis. There was no perioperative death. Four cases had incision infection and one case had incision rupture. Conclusion: Choosing the appropriate cases, combined with intraoperative colonic irrigation for a resection and anastomosis, the treatment of left colon cancer with acute intestinal obstruction is satisfactory.