左半结肠癌致急性肠梗阻行Ⅰ期吻合98例疗效分析

TThe effect of surgical primary resection and anastomosis on left colonic carcinoma with acute complete obstruction plus 98 cases report

目的探讨左半结肠癌致急性肠梗阻行Ⅰ期吻合的临床疗效。方法回顾性分析我院2000年—2010年98例左半结肠癌致急性肠梗阻行左半结肠Ⅰ期切除吻合患者的临床资料。结果本组98例患者行Ⅰ期吻合术均获治愈,其中出现吻合口瘘5例,切口液化感染8例,均经积极处理后痊愈,无术后腹腔脓肿、围术期死亡病例。术后并发症发生率为13.27%.结论治疗左半结肠癌致急性肠梗阻,只要选择合适病例,完善术中及围术期处理,行Ⅰ期吻合手术是安全、有效、可靠的。

Objective To explore the effect of surgical primary resection and anastomosis on left colonic carcinoma with acute complete obstruction.Methods A retrospective study including 98 patients who underwent primary resection and anastomosis for obstructing colorectal cancers from 2000 to2010 was made.Results All of 98 cases were cured.There were 8 cases incision infection,5 cases anastomotic leakage and no perioperative death.The totle complication rate is 13.27%.Conclusion It＇s safe and feasibility to operate primary resection and anastomosis in left colonic carcinoma with acute complete obstruction,if we select the proper case and improve the management of operations.