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目的探讨左半结肠癌并发急性肠梗阻的手术处理方法。方法回顾性分析我院2008年1月至2010年6月间28例左半结肠癌致肠梗阻的外科治疗资料。结果行Ⅰ期手术15例,行Ⅱ期手术9例,永久性结肠造口术4例;腺癌21例,黏液癌3例,未分化癌4例;术后并发切口感染3例,吻合口瘘1例,死亡1例,其余治愈,治愈率为95.8%。结论左半结肠癌并发急性肠梗阻的患者应根据具体病情选择术式,术中充分的结肠灌洗、减压,完善围术期治疗,Ⅰ期切除吻合是安全可行的。既提高了患者的生活质量,又避免二次手术的痛苦
Objective To investigate the surgical treatment of left colon cancer with acute intestinal obstruction. Methods Retrospective analysis of surgical treatment of intestinal obstruction in 28 cases of left colon cancer from January 2008 to June 2010 in our hospital. Results The patients underwent stage Ⅰ operation in 15 cases, stage Ⅱ operation in 9 cases, permanent colostomy in 4 cases, adenocarcinoma in 21 cases, mucinous carcinoma in 3 cases and undifferentiated carcinoma in 4 cases. Postoperative incisional infection in 3 cases and anastomosis 1 case of fistula, 1 case of death, the remaining cured, the cure rate was 95.8%. Conclusions Patients with left colon cancer complicated with acute intestinal obstruction should be treated according to the specific conditions, adequate intraoperative lavage and decompression and perioperative treatment. Stage Ⅰ resection and anastomosis is safe and feasible. Not only improve the quality of life of patients, but also to avoid the pain of secondary surgery