目的探讨左半结肠癌并急性肠梗阻Ⅰ期切除吻合的临床疗效。方法回顾性分析田阳县人民医院普外科2001年6月至2011年10月收治并行Ⅰ期切除吻合的19例左半结肠癌并急性肠梗阻患者的临床资料。结果所有患者均顺利完成手术,无围术期死亡患者,术后并发症发生率为15.8%(3/19),经对症处理后均好转。结论在合理选择病例、恰当围术期处理的前提下,Ⅰ期切除吻合治疗左半结肠癌并急性肠梗阻在技术上是切实可行的。 Objective To explore the clinical efficacy of resection and anastomosis of acute left ileus with acute intestinal obstruction. Methods The clinical data of 19 patients with left colon cancer and acute intestinal obstruction who underwent concurrent primary resection and anastomosis were reviewed retrospectively from June 2001 to October 2011 in the Department of General Surgery, Tianyang County People’s Hospital. Results All the patients completed the operation successfully, and there was no perioperative death. The postoperative complication rate was 15.8% (3/19). All cases were improved after symptomatic treatment. Conclusions Under the premise of reasonable selection of cases and proper perioperative management, it is technically feasible for stage I resection and anastomosis to treat left colon cancer and acute intestinal obstruction.