左半结肠癌并肠梗阻一期吻合临床观察

• 作 者: 汪心同
• 机 构: 河南省信阳市第一人民医院普外科,
• 出 处: 中国实用医药
• 发表日期: 2010年21期
• 关键词: 左半结肠癌 肠梗阻 结肠灌洗 一期吻合

目的探讨左半结肠癌并肠梗阻一期吻合术的临床治疗效果。方法回顾分析65例患者的临床资料。结果本组65例患者Ⅰ期吻合术均获成功,无吻合口漏,无死亡病例。术后并发切口感染8例,肺部感染6例,腹腔脓肿3例,均经对症处理后痊愈。术后随访6～36个月,均未发生严重并发症。结论左半结肠癌并急性肠梗阻,只要严格掌握手术适应证,加强围术期处理,行一期切除吻合术是安全、有效的。

Objective To investigate the clinical effect of primary anastomosis of left colon cancer with ileus. Methods The clinical data of 65 patients were retrospectively analyzed. Results All 65 patients underwent stage Ⅰ anastomosis successfully. There was no anastomotic leakage and no deaths. Postoperative incision infection in 8 cases, 6 cases of pulmonary infection, abdominal abscess in 3 cases, were cured after symptomatic treatment. All cases were followed up for 6 to 36 months without serious complications. Conclusion The left colon cancer with acute intestinal obstruction, as long as strict indications of surgical indications, to strengthen the perioperative management, a one-stage resection and anastomosis is safe and effective.