摘要：目的：探讨左半结肠癌并急性梗阻一期切除吻合术可行性。方法：回顾性分析我院五年来23例左半结肠癌并急性梗阻一期切除吻合术的临床资料,所有病例均术中结肠灌洗,而认为有危险性的14例同时行预防性盲肠造瘘。结果：23例一期切除吻合术,无一例发生吻合口漏、腹腔感染等并发症。结论：严格掌握手术适应症,积极术前准备,充分结肠灌洗,对认为有危险性吻合口实行预防性盲肠造瘘,正确术后处理, 左半结肠癌并急性梗阻一期切除吻合术是安全可行的。

    关键词：左半结肠；急性肠梗阻；结肠灌洗；一期手术；盲肠造瘘

    23 Cases of Left-sided Colonic Carcinoma Undergoing one-stage Resection and Primary Anastomosis

    LIANG Jian,ZHANG Yi-wen,CAI Wei-hui

    (Department of General Surgery,Maoming People’s Hospital,Guangdong Maoming 525000, China)

    Abstract： Objective:To explore the feasibility of one-stage resection and primary anastomosis for acute obstruction of left hemicolonic carcinoma. Methods:Clinical data of 23 cases of left-sided colonic carcinoma undergoing one-stage resection and primary anastomosis were analyzed respectively.Intraoperative colonic lavage were performed in all cases.For the 14 cases which were considered to be dangerous,preventive ceostomy was performed.Results:23 cases were performed one-stage resection and primary anastomosis,all patients had not any complications such as anastomatic leakage and infection of the peritoneal cavity.Conclusions:Have a strict control over operation indication,perform postoperative care properly, one-stage resection and primary anastomosis for acute obstruction of left hemicolonic carcinoma is safe and workable. ......