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目的:探讨左半结肠癌合并肠梗阻一期切除吻合的效果。方法:对9例左半结肠癌合并肠梗阻的患者,1例行乙状结肠造瘘,8例行术中肠道灌洗,一期切除吻合。结果:8例一期切除吻合的患者均无吻合口瘘发生,痊愈出院。结论:适当选择病例并进行适当的术中处理,左半结肠癌合并肠梗阻者可以进行肿瘤切除后一期吻合。
Objective: To investigate the effect of primary resection and anastomosis of left colon cancer with intestinal obstruction. Methods: Nine cases of left colon cancer with intestinal obstruction, one case of sigmoid colon fistula, eight cases of intraoperative intestinal lavage, a resection and anastomosis. Results: There was no anastomotic fistula occurred in 8 cases of primary resection and anastomosis. All cases were cured and discharged. Conclusion: Appropriate choice of cases and appropriate intraoperative treatment of left colon cancer with intestinal obstruction can be carried out after anastomosis.