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作者自1987年以来采用结肠次全切除一期治疗左半结肠肿瘤并梗阻17例,手术顺利,恢复良好,无吻合口瘘发生。 1 临床资料 17例患者,男14例,女3例,年龄40～75岁;均由明显梗阻症状就诊,13例为急症手术,4例为不全性肠梗阻行保守治疗无效中转急诊手术。肿瘤位置:左半横结肠5例。结肠脾曲4例,降结肠5例,降结肠乙状结肠交界处3例。手术方式:结肠次全切后行回肠末端乙状结肠对端吻合10例,回肠末端直肠
Since 1987, the authors have used colon subtotal resection to treat left colon tumor and have obstructed 17 cases. The operation was successful and recovered well without anastomotic leakage. 1 Clinical data 17 patients, 14 males and 3 females, aged 40 to 75 years old; were treated by obvious obstructive symptoms, 13 cases were emergency surgery, 4 cases of incomplete intestinal obstruction were treated with conservative treatment failure emergency transfer surgery. Position of the tumor: 5 cases of left transverse colon. There were 4 cases of colon splenic flexure, 5 cases of descending colon, and 3 cases of descending colon and sigmoid junction. Surgical method: 10 cases of sigmoid end-to-end anastomosis of the ileum after subtotal excision of the colon and rectum of the ileum