一期切除术在急性大肠癌低位梗阻中的应用

目的 探讨大肠癌并急性低位结肠梗阻的外科处理原则和方法。方法 回顾性分析我院一期手术切除的大肠癌并急性低位结肠梗阻病例，综合评价其外科处理方法。结果 一期切除吻合术34例，一期切除近端结肠造口二期肠造口闭合术6例，均获痊愈，仅3例切口感染，无吻合口漏及其它并发症。结论 ①大肠癌并急性低位梗阻的患者，只要适应症掌握恰当，一期切除和吻合是安全的。②术中结肠灌洗对一期吻合术具有重要意义。

Application of one-stage resection to the treatment of acute distal colorectal cancer obstruction

To explore the principle and methods of surgical management ofacute distal colon obstruction caused by colorectal cancer.Methods The data of the cases who received one-stage resection in our hospital were analyzed retrospectively,and their surgical management was evaluated comprehensively.Results 34 patients received one-stage resection and anastomosis and 6 received delayed anastomosis.All the patients were cured,and no anastomosis fistula or other complications occurred except for 3 cases who were complicated with infection.Conclusion One-stage resection and anastomosis was safe for the patients of colorectal cancer complicated with acute disatal colon obstruction as long as the indications were determined appropriately.Colonic irrigation during the operation is essential for one-stage anastomosis.