约有70 %结肠癌性梗阻发生在左半结肠,而左半结肠癌并急性肠梗阻的手术方式过去多主张分期手术[1] 。近6年来我们尝试采取一期切除吻合,术中尽可能把近段结肠灌洗干净,再用近端扩张之结肠段作成带蒂结肠浆肌瓣覆盖吻合口,术后未发生吻合口瘘,效果满意,现报告如下。1　资料与方 About 70% of colon cancer obstruction occurred in the left colon, and the left colon cancer and acute intestinal obstruction surgery in the past advocated staging [1]. Nearly 6 years, we try to take a resection and anastomosis, intraoperative resection of the proximal colon irrigation as much as possible, and then use the proximal expansion of the colon segment made of pedunculated colonic muscle flap anastomosis, anastomotic leakage did not occur after surgery, Satisfactory results, are as follows. 1 data and party