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目的评估左半结肠癌并急性肠梗阻根治术后Ⅰ期吻合+近端造瘘早期回纳的疗效。方法术中行左半结肠癌根治术后将剩余近端结肠根据病人胖瘦预留10-15cm长残端,行近-远端结肠侧-端吻合。残端造瘘,术后20d将造瘘口关闭,埋入皮下或回纳腹腔。结果 4例病人手术均获成功,未出现吻合口漏、关闭残端漏。结论左半结肠癌并急性肠梗阻根治术后Ⅰ期吻合+近端造瘘早期回纳是可行的,其减少了病人的痛苦,降低了经济费用,缩短了整个外科治疗时间。
Objective To evaluate the efficacy of stage Ⅰ anastomosis + proximal fistula in early stage of left colon cancer with acute intestinal obstruction. Methods The left proximal colon after radical mastectomy was treated with 10-15 cm long residual stumps according to the patient’s fat and / or thin, and the proximal and distal colon side-end anastomoses were performed. Stump stump, stoma closure 20d after surgery, buried subcutaneously or back into the abdominal cavity. Results All the 4 patients were successful in operation, no anastomotic leakage was found and the stump was closed. Conclusions It is feasible to reconstruct Ⅰ-stage anastomosis + proximal fistula after left-sided colon cancer with acute intestinal obstruction, which can reduce patient’s suffering, reduce economic cost and shorten the total duration of surgical treatment.