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目的:探讨左半结肠癌致肠梗阻I期切除吻合的治疗效果。方法:对14例左半结肠癌致肠梗阻行I期切除吻合进行回顾性分析。结果:14例中根治性切除13例,姑息性切除1例,均行I期切除吻合。腹部切口感染1例,经换药治愈;无一例死亡,无一例吻合口瘘。结论:严格掌握手术适应证,充分的术前准备,术中彻底结肠灌洗、减压,I期切除吻合是安全可行的。
Objective: To investigate the therapeutic effect of I-phase resection and anastomosis caused by intestinal obstruction in left colon cancer. Methods: A retrospective analysis of 14 cases of left colon cancer with ileus resection and anastomosis was performed. Results: In the 14 cases, radical resection was performed in 13 cases and palliative resection in 1 case. All cases underwent resection and anastomosis in stage I. Abdominal incision infection in 1 case, cured by dressing; no death, no case of anastomotic leakage. Conclusion: It is safe and feasible to strictly control the operation indications, adequate preoperative preparation, complete colonic lavage during operation, decompression and stage I resection and anastomosis.