关键词: 左半结肠癌, Ⅰ期吻合 , 肠道减压灌洗, 急性肠梗阻

Abstract:

Objective To investigate the surgical treatment and outcome of left colon cancer with acute intestinal obstruction. Methods Thirty five patients with left colorectal cancer complicated with acute intestinal obstruction were enrolled in this study. All patients underwent intra-operative lavage and then one-stage anastomosis. Results All patients had a smooth operation procedure, no cases of perioperative death, anastomotic leakage in one case（2.9%）, and were discharged after treatment with smooth drainage, rinse, and nutrition. The mean hospital stay was 14.5（9-24）days in the patients with left colon cancer and acute obstruction. Three patients developed incision infection or liquefaction （8.6%）and healed after dressing. Four cases（11.4%）were pulmonary infection and recovered by anti-infective therapy. Conclusion Intraoperative colon lavage and one-stage anastomosis is feasible for left colon cancer with acute intestinal obstruction.

Key words: left colon cancer, acute intestinal obstruction, intestinal decontamination lavage , phase I anastomosis