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目的探讨左半结肠癌并发急性肠梗阻术中行肠道灌洗后Ⅰ期切除吻合的可行性。方法对桦甸市人民医院1998年1月至2008年7月收治的因左半结肠癌所致的急性肠梗阻患者25例,急诊手术行术中肠道灌洗后Ⅰ期切除吻合进行回顾性分析。结果术后患者切口感染3例,切口哆开1例,无肠瘘、腹腔脓肿等严重并发症,无术后死亡病例。结论对左半结肠癌并发急性肠梗阻合理应用术中结肠灌洗行Ⅰ期切除吻合是可行的。
Objective To investigate the feasibility of stage Ⅰ resection and anastomosis after intestinal lavage in patients with left colon cancer complicated with acute intestinal obstruction. Methods A total of 25 patients with acute intestinal obstruction caused by left colon cancer in Huadian City People’s Hospital from January 1998 to July 2008 were retrospectively reviewed. analysis. Results Postoperative incision infection in 3 patients, incision open in 1 case, no intestinal fistula, abdominal abscess and other serious complications, no postoperative deaths. Conclusions It is feasible to use the first stage of colorectal lavage for resection and anastomosis of left colon cancer with acute intestinal obstruction.