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我们从１９８９年１月至１９９３年４月治疗左半结肠癌并急性梗阻者２３例，其中男１５例，女８例，年龄２４—８２岁，平均５６．２岁。按Ｄｕｋｅｓ分期标准：Ｂ期６例，Ｃ期１２例，Ｄ期５例。１９例行一期切除，其中１８例属根治性切除，单纯造瘘４例。术后病理：腺癌１８例，粘液腺癌４例，未分化癌１例。术后并发症：术后２小时死于中毒性休克１例，腹腔脓肿和切口裂开各１例。文中对左半结肠癌并急性梗阻病人的术式选择，术中及术后处理，并发症的预防进行了讨论。
From January 1989 to April 1993, we treated 23 cases of left colon cancer and acute obstruction, including 15 males and 8 females, aged 24-82 years, with an average of 56.2 years. According to the Dukes staging criteria, 6 cases were in stage B, 12 cases in stage C, and 5 cases in stage D. One-stage resection was performed in 19 cases, of which 18 cases were radical resection and 4 were simple hernias. Postoperative pathology: 18 cases of adenocarcinoma, 4 cases of mucinous adenocarcinoma, and 1 case of undifferentiated carcinoma. Postoperative complications: 1 patient died of toxic shock 2 hours after operation, 1 case of abdominal cavity abscess and incision dehiscence. This article discusses the choice of surgical methods, intraoperative and postoperative management, and the prevention of complications in patients with left-sided colon cancer and acute obstruction.