结肠癌并发急性梗阻手术一期切除吻合（附32例报告）

Surgical treatment of obstructive Colonic cancer(Report of 32 cases)

对３２例结肠癌并发急性结肠梗阻的病人进行根治性手术，一期切除吻合２８例，切除吻合后辅以近端结肠造瘘４例，结果无一例吻合口瘘发生。因此认为：右半结肠癌引起的结肠梗阻，只要有手术切除的可能，即行一期切除吻合术；左半结肠癌引起的梗阻，若肠管病理反应程度较轻，亦行一期切除吻合术，若肠管病理反应程度较重，则可行切除吻合后辅以近端横结肠造瘘术。

In the colon cancer combined with acut intestinal obstruction,32 patients underwent radical colonectomy. Among them,28 cases received primary enteric anastomosis and 4 received enterostomy after removal of the tumors.the result showed that no anastomostic leakage occured. We suggest that primary enteric anastomosis is commended in the patients with right half colonic cancer. In the patients with left half colonic cancer,we usually take a technique with proximal fistulation after removal tumors if the patients get a serious pathotogic reaction.otherwise,it is still suggested for patient to accept with primary enteric anastomosis.