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目的:探讨急性左半结肠梗阻一期手术的方法及并发症的预防。方法:对14例左半结肠急性梗阻的患者术前、术中、术后使用抗菌素,术中非结肠灌洗一期吻合手术,吻合口上段空虚,下段通畅,吻合口血供可靠,补充水电解质,加强支持治疗。结果:切口感染4例,未出现吻合口瘘等严重并发症。结论:急性左半结肠梗阻,经术前、术中及术后正确处理非术中结肠灌洗一期吻合是安全可行的。
Objective: To investigate the method and the prevention of complications in the first stage of acute left colon obstruction. Methods: A total of 14 patients with acute left obstruction of the left colon received antimicrobials preoperatively, intraoperatively and postoperatively. An intraoperative colonic laparoscopic anastomosis was performed. The upper anastomosis was empty and the lower patency was unobstructed. The anastomotic blood supply was reliable and supplemented with water Electrolyte to enhance supportive care. Results: Incision infection in 4 cases, no serious complications such as anastomotic leakage occurred. Conclusion: It is feasible and safe to treat the acute left colonic obstruction by the first phase of colonic lavage without preoperative, intraoperative and postoperative management.