结肠癌急性梗阻一期切除吻合术中不灌洗肠腔的探讨

Probing management without colonic lavage in operation for onestage resection and anastomosis of colon cancer with acute obstruction.

目的 研究一种结肠癌急性梗阻一期切除吻合的更简单、合理、安全的术中处理方法。方法 肠切开减压后 ,用左右手交替挤压法清洁肠道 ,不灌洗肠腔 ,使肠吻合后吻合口处持续有少许较稀薄的肠内容物通过。结果 采用本方法清洁肠道一期切除吻合的结肠癌急性梗阻 38例 ,术后无一例发生吻合口漏。结论 本方法在结肠癌急性梗阻一期切除吻合中应用 ,更为简单、合理、安全。

Objective A more simple reasonable and safe management technique in operation for one stage resection and anastomosis of colon cancer with acute obstruction was developed.Methods After enterotomy and decompression,the operator could squeeze the bowel by two hands for bowel clean.Without colonic larage,a little completely mashed the bowel content could continually pass primary anastomosis after inestines anastomosed.Results 38 cases of colon cancer with acute obstruction were decompressed with this technique.Without anastomosis fistula,it is a good curative effect.Conclusion It is a more simple,safe and reasonable management technique in operation for one stage resection and anastomosis of colon cancer with acute obstruction. [