急性梗阻的左半结肠癌Ⅰ期切除吻合体会

A appreciation for one - stage resection of left colon cancer with acute obstruction

目的探讨左半结肠癌急性梗阻Ⅰ期切除吻合的Ⅰ临床应用价值。方法对1988年1月至2006年12月24侧实施左半结肠癌急性梗阻Ⅰ期切除吻合手术患者的资料进行回顾性总结。结果24例均未发生吻合口漏，仅3例发生切口感染，经局部换药处理Ⅱ期愈合。结论积极的术前准备、术中彻底的肠减压能为左半结肠癌急性梗阻Ⅰ期切除吻合提供安全保证.

Objective To study the clinical value of the operation of one - stage resection of left colon cancer with acute obstruction. Methods The material of 24 cases of one - stage resection of left colon cancer with acute obstruction was analyzed retrospectively from Jan. 1988 to Dec. 2006. Results The 24 cases all recovered smoothly without anastomosis fistula. Only 3 cases got infection in skin incision and all of them were cured in two - stage by subsequent treatment. Conclusion To the operation of one - stage resection of left colon cancer with acute obstruction, security assuranee can be provided by active preparation before the operation and thorough decompression witbout contamination during the operation.