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对31例老年人左半结肠癌并急性肠梗阻行Ⅰ期手术切除吻合术,包括左半结肠切除吻合22例、乙状结肠切除吻合9例,全组无手术死亡及吻合口漏,取得了良好的临床效果。认为手术成功的关键是掌握正确的手术指征、合理的手术方法及相应的术后处理。Ⅰ期手术切除肠吻合术最大的优点是比Ⅱ期手术结肠癌切除时间提早2～6周,减少二次手术肿瘤细胞扩散的机会,同时减少了多次手术对老年人的打击及结肠造瘘(人工肛门)对老年人生活的不便。
31 patients with left colon cancer and acute intestinal obstruction underwent a surgical resection and anastomosis, including 22 cases of left colon resection and anastomosis, 9 cases of sigmoid resection and anastomosis. There was no operative death and anastomotic leakage in the whole group. Good results were obtained. Clinical effect. The key to successful surgery is to grasp the correct surgical indications, reasonable surgical methods, and appropriate post-operative treatments. The greatest advantage of stage I surgical resection of bowel anastomosis is that it is 2 to 6 weeks earlier than the stage II resection of colon cancer, which reduces the chance of second-stage tumor cell proliferation, and reduces the number of attacks on the elderly and colostomy. (Artificial anus) Inconvenience to the elderly.