目的对结肠癌急性梗阻采用Ⅰ期切除,以减轻病人多次手术痛苦及经济和思想上的负担。方法采用自制多侧孔穿刺针,在梗阻近端一次性穿刺,边注入无菌生理盐水边抽吸,在密闭条件下能较彻底排出结肠内气液体及稠厚粪便。吻合口采用“套式吻合”,即远端套入口径大的近端肠腔内1.5~2 cm。结果92例结肠癌急性梗阻病人,术后仅1例发生吻合口瘘,1例伤口感染。结论我们的体会是:“空肠空、术中灌、套吻合、三观色”十二字要领。 Objective To adopt a phase I resection for acute obstruction of colon cancer to relieve the patient’s multiple surgical pains and economic and ideological burden. Methods A self-made multi-hole puncture needle was used to perform disposable puncture at the proximal end of the obstruction. Aspiration was performed while injecting sterile physiological saline. Under the confined conditions, the gas and liquid in the colon and thick stools were completely removed. The anastomotic stoma uses a “sleeve type anastomosis,” ie, a 1.5 to 2 cm proximal distal intestine lumen with a large distal entrance. Results In 92 cases of colon cancer with acute obstruction, only 1 case had anastomotic leakage and 1 case of wound infection. Conclusion Our experience is: “empty intestine empty, intraoperative irrigation, set anastomosis, three views” twelve characters.