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目的探讨结肠癌致梗阻一期切除吻合术的可行性和合理性。方法对20例结肠癌急性梗阻行一期切除吻合术进行回顾性分析。结果2例行右半结肠切除术,18例行左半结肠切除术,除1例切口感染外,无吻合口瘘等并发症,全组治愈出院。结论结肠癌致梗阻只要全身情况尚好,无休克及脱水征,无严重伴发病,肿瘤尚无肠管外浸润固定,术中灌洗结肠,充分肠道减压,行一期切除吻合术一次解决了梗阻和肿瘤,是合理和安全可行的处理方式。
Objective To investigate the feasibility and rationality of primary resection and anastomosis caused by obstruction of colon cancer. Methods A retrospective analysis of 20 cases of acute obstruction of colon cancer with one-stage resection and anastomosis was performed. Results 2 cases underwent right hemicolectomy and 18 cases underwent left hemicolectomy. There was no complications such as anastomotic fistula except one case of incision infection. All cases were cured and discharged. Conclusion Obstruction of colon cancer as long as the general condition is good, no signs of shock and dehydration, no serious complication, the tumor is still no infiltration of intestinal solidification, intraoperative lavage colon, full decompression, a one-stage anastomosis removed Obstruction and tumor, is a reasonable and safe way to deal with.