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目的总结老年左半大肠癌并发急性肠梗阻一期手术治疗的体会。方法回顾性分析31例老年左半大肠癌并发急性肠梗阻的临床资料。结果本组31例行一期肠切除吻合25例,行姑息性结肠造口2例,另4例经肛门插入型肠梗阻导管减压去污后行一期手术。术后切口感染2例,无吻合口瘘发生,无手术死亡病例。结论老年左半大肠癌并发急性肠梗阻治疗中,选择性一期肠切除吻合术是安全可行的;经肛门插入型肠梗阻导管结肠减压,灌洗去污是对一期肠切除吻合术的有效补充。
Objective To summarize the experience of first-stage surgical treatment of left-sided colorectal cancer with acute intestinal obstruction in the elderly. Methods The clinical data of 31 elderly patients with left colon cancer complicated with acute intestinal obstruction were retrospectively analyzed. Results In this group, 31 cases underwent primary intestine resection and anastomosis in 25 cases, and palliative colostomy in 2 cases. The other 4 cases underwent an operation by decompression and decontamination of the anus-inserted intestinal obstruction catheter. Postoperative incision infection in 2 cases, no anastomotic fistula occurred, no surgical deaths. Conclusion In the treatment of senile left-sided colorectal cancer with acute intestinal obstruction, selective primary intestine resection and anastomosis is safe and feasible. The transcatheter decompression and lavage debridement of the intestinal obstruction by anal anastomosis is a one- Effective supplement.