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目的探讨左半结肠癌并急性梗阻I期手术治疗的可行性。方法对57例左半结肠癌并急性梗阻患者的临床资料进行回顾性分析。结果57例全部治愈,疗效满意,无围手术期死亡。术后并发症;吻合口瘘4例(7%),切口感染8例(14%)。结论对左半结肠癌致急性梗阻患者,尽量完善围手术期处理,术中肠腔减压,彻底结肠灌洗及高效抗生素应用,I期手术是安全可行的。
Objective To investigate the feasibility of I-stage surgical treatment of left-sided colon cancer with acute obstruction. Methods The clinical data of 57 patients with left colon cancer with acute obstruction were retrospectively analyzed. Results 57 cases were completely cured, with satisfactory results, no perioperative deaths. Postoperative complications; anastomotic fistula in 4 cases (7%), incision infection in 8 cases (14%). Conclusion In patients with acute obstruction of left colon cancer, perioperative management, intra-intestinal decompression, thorough colonic lavage and high-effective antibiotics should be perfected. Stage I operation is safe and feasible.