31例左半结肠癌致急性梗阻的外科治疗均争取在入院4～8小时内作术前准备后行手术。一期根治性肠切除吻合术10例，指出窝掌握适应证；6例作改良的Hartmann手术是可取的；11例行传统的分期手术，并指出只适用于全身情况极差伴休克且使用近端结肠极度扩张的病人；4例行永久性结肠瘘。术后随访25例，术后1、3年生存率分别为48．0％、32．0％。 Thirty-one cases of surgical treatment of acute obstruction caused by left colon cancer were all required to perform surgery within 4 to 8 hours after admission for preoperative preparation. One stage of radical resection and anastomosis was performed in 10 cases, indicating that the litter had a good indication; 6 cases of modified Hartmann’s surgery were preferable; 11 cases were performed conventional stage surgery, and pointed out that it was only suitable for general conditions with shock and use of near Patients with extreme dilation of the distal colon; permanent colon spasm in 4 patients. Follow-up was performed in 25 cases. The 1- and 3-year survival rates were 48.0% and 32.0%, respectively.