封闭式灌肠在高龄左半结肠癌肠梗阻术中的应用

Intraoperative lavagation on emergency one-stage surgery for advanced age patients with left obstructing colorectal carcinomas

目的总结高龄左半结肠癌肠梗阻切除吻合术中应用封闭式顺行灌肠法防止吻合口瘘的经验。方法对1998年至2004年期间收治的37例高龄左半结肠癌肠梗阻患者术中应用封闭式顺行灌肠,并行Ⅰ期切除吻合。结果37例高龄患者术后均未发生吻合口瘘,恢复良好。结论术中应用封闭式顺行灌肠法,使高龄左半结肠癌致肠梗阻患者行Ⅰ期切除吻合成为可行。

Objective To analyze the outcome in advanced age patients with obstruction of the left colonrectal cancer treated by intraoperative cavage method. Methods From 1998 and 2004,37 senile patients with acute obstruction for cancer underwent surgery. The patients were treated with intraoperative lavage, resection and primary anastomosis. Results All patients, no anastomotic leakage occurred. The patients got a well recovery post-operation. Conclusion One-stage emergency surgery for left obstructing colonic cancers is safe with the regard of intraoperative lavagation methods.