标题：梗阻性左半结肠癌一期切除吻合治疗体会

      作者：曹 嵘，徐 洋，赵 永
    (无锡市慈善医院普外科，江苏 无锡 214000)

      卷次： 2012年23卷8期

      【摘要】 目的 探讨梗阻性左半结肠癌一期手术切除吻合的疗效。方法 回顾分析28例左半结肠癌肠梗
阻行一期切除吻合患者的临床资料。结果 本组均成功行一期肿瘤切除肠吻合，根治切除22例，姑息切除6例，
术后切口感染3例(13.6%)，肺部感染3例(13.6%)，吻合口瘘2例(9.1%)，死亡1例(4.5%)，患者死于吻合口瘘致严
重腹腔感染。结论 对梗阻性左半结肠癌，采用积极的治疗态度，选择手术时机，以肿瘤一期切除肠吻合方式可
以达到满意的效果。

      【关键词】 结肠肿瘤；肠梗阻；Ⅰ期手术

      【中图分类号】 R735.3+5 【文献标识码】 A 【文章编号】 1003—6350(2012)08—055—02<

br>Primary excision and anastomosis for the left colon tumor complicated with bowel obstruction.
CAO Rong, XU
Yang, ZHAO Yong. Department of General Surgery, the Charity Hospital of Wuxi, Wuxi 214000, Jiangsu, CHINA

【Abstract】 Objective To investigate obstructive left colon resection and anastomosis of a surgical treatment.
Methods Retrospective analysis of 28 cases with left colon obstruction of one stage resection and anastomosis was
reported. Results The tumors were removed successfully in an intestinal anastomosis, radical resection in 22 cases,
palliative resection in 6 cases, postoperative wound infection in 3 cases (13.6%), lung infection in 3 patients (13.6%),
anastomotic fistula in 2 cases (9.1%), 1 patient (4.5%) died of anastomotic leakage caused by severe abdominal infec-
tion. Conclusion Obstructive left colon cancer treatment of positive attitude, choose the timing of surgery, the use of
a tumor resection and anastomosis can achieve satisfactory results.

      【Key words】 Colonic neoplasm; Intestinal obstruction;Ⅰstage operation