论文部分内容阅读
目的探讨急性左半结肠良性梗阻行一期切除吻合术的可行性及适应证。方法2003~2008年收治的18例左半结肠良性梗阻患者接受急症手术,均采用术中灌洗后一期切除吻合术,观察疗效及并发症情况。结果18例均顺利完成一期切除吻合术,无一例围手术期死亡。并发症:腹腔感染2例,伤口感染6例,均经保守治疗后痊愈。结论急性左半结肠良性梗阻患者进行适当的术中处理后,一期切除吻合术技术上是安全可行的。
Objective To investigate the feasibility and indications of a one-stage resection and anastomosis of benign obstruction of the left colon. Methods 18 patients with benign obstruction of the left colon from 2003 to 2008 underwent emergency surgery. All patients underwent one-stage resection and anastomosis after operation, and the curative effect and complications were observed. Results 18 cases were successfully completed a resection and anastomosis, no case of perioperative deaths. Complications: 2 cases of abdominal infection, wound infection in 6 cases, were cured after conservative treatment. Conclusion Acute left-sided benign obstruction in patients with appropriate surgical treatment, a resection and anastomosis is technically safe and feasible.