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目的探讨结肠清洁灌洗和浆肌层瓣套入式吻合(浆肌瓣式)在左半结肠癌梗阻一期切除吻合术中的作用。方法对38例左半结肠癌梗阻患者行术中结肠灌洗、浆肌层瓣套入式一期吻合。结果术后发生切口感染4例,经换药治愈,1例发生吻合口瘘,经双腔负压冲洗引流、营养支持等治疗,于术后40d自行愈合。结论联合应用术中结肠灌洗和浆肌层瓣套入式吻合对左半结肠癌梗阻行一期切除吻合是安全有效的。
Objective To investigate the role of colonic lavage and myofascial flap anastomosis (pulp muscle flap) in primary resection and anastomosis of left-sided colon cancer with obstruction. Methods Thirty-eight patients with left-sided colon cancer obstruction underwent colonic lavage and anastomosis of the muscular layer flap. Results Incisional wound infection occurred in 4 cases. After dressing change, one case had anastomotic fistula, double-lumen negative pressure irrigation and drainage, nutrition support and so on, and healed by 40 days after operation. Conclusions It is safe and effective to perform colorectal resection and anastomosis of the left colon cancer with combined colonic lavage and myofascial flap anastomosis.