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目的研究左半结肠癌合并急性完全性机械性肠梗阻的高龄患者,经肠梗阻导管肠道准备后一期行根治切除吻合术的可行性。方法对本院收治因左半结肠癌并急性完全性机械性肠梗阻的2例高龄患者,在X线及肠镜辅助下留置肠梗阻导管,并由此导管行肠道准备后,一期行根治切除吻合术。结果 2例均成功完成一期根治切除吻合术,术后无并发症发生,如期出院。结论由肠梗阻导管肠道准备后限期一期行根治性切除肠吻合术是治疗高龄左半结肠癌并急性完全性机械性肠梗阻的一种有效的方法。
Objective To study the feasibility of radical resection and anastomosis in the first stage of intestinal tract after intestinal obstruction by left-colon cancer in elderly patients with acute complete mechanical obstruction. Methods In our hospital, 2 elderly patients with left-sided colon cancer who had acute complete mechanical intestinal obstruction were treated with X-ray and colonoscopy with ileus-assisted catheterization. After the bowel preparation, Radical resection and anastomosis. Results 2 cases were successfully completed a radical resection and anastomosis, postoperative complications, scheduled discharge. Conclusions The one-stage radical gastrectomy for bowel obstruction after intestinal preparation is an effective method for the treatment of advanced left-sided colon cancer with acute complete mechanical intestinal obstruction.