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目的探讨左半结肠癌伴急性梗阻的临床诊断以及外科手术处理原则,总结其经验。方法 34例左半结肠癌合并梗阻患者全部行手术治疗,观察手术效果。结果 34例患者全部行手术治疗,I期手术20例,Ⅱ期手术11例,永久性结肠造口术4例;术后病理:腺癌28例,未分化癌2例,黏液癌4例;术后并发吻合口瘘1例,切口感染4例,无死亡病例。结论严格掌握手术适应证、完善围手术期处理、合理的手术方式,I期手术切除可以达到满意的临床治疗效果,值得推广。
Objective To investigate the clinical diagnosis and surgical treatment of left-sided colon cancer with acute obstruction and to summarize its experience. Methods Thirty-four patients with left-sided colon cancer complicated with obstruction underwent surgical treatment and the effect of surgery was observed. Results All the 34 patients underwent surgical treatment. There were 20 cases of stage I, 11 cases of stage II and 4 cases of permanent colostomy. Postoperative pathology included 28 cases of adenocarcinoma, 2 cases of undifferentiated carcinoma and 4 cases of mucinous carcinoma. Postoperative anastomotic leakage in 1 case, incision infection in 4 cases, no deaths. Conclusion Strict control of surgical indications, perioperative perioperative management, reasonable surgical methods, I-phase surgical resection can achieve satisfactory results of clinical treatment, it is worth promoting.