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目的探讨左半结肠直肠癌并急性肠梗阻行一期切除吻合术的可行性及注意事项,腹腔镜冲洗吸引装置在术中结肠灌洗中的应用价值。方法对19例左半结肠直肠癌并急性肠梗阻患者切除肿瘤肠段,应用腹腔镜冲洗吸引装置行术中灌肠后一期吻合。结果19例患者均无吻合口瘘及腹腔感染等严重并发症发生,术后10～14天痊愈出院。结论只要合理选择病例,手术操作及围手术期处理得当,左半结肠直肠癌并急性肠梗阻行一期切除吻合是安全可行的,术中应用腹腔镜冲洗吸引装置灌洗结肠,可达到省时省力、肠道清洁更加满意的效果。
Objective To investigate the feasibility and precautions of primary resection and anastomosis for left-sided colorectal cancer with acute intestinal obstruction and the value of laparoscopic irrigation and suction device in intraoperative colonic irrigation. Methods Twenty-nine patients with left-sided colorectal cancer with acute intestinal obstruction underwent resection of the bowel segment of the tumor. Laparoscopic irrigation was performed to perform an anastomosis of the enema during the operation. Results All the 19 patients had no serious complications such as anastomotic fistula and abdominal infection, and were discharged after 10 to 14 days. Conclusion As long as the patients are properly selected, the operation and perioperative management are appropriate, it is safe and feasible to perform the first stage of resection and anastomosis of the left colorectal cancer with acute intestinal obstruction. Laparoscopic irrigation and suction device lavage colon surgery can save time Labor-saving, gut cleaning more satisfied with the results.