左半结、直肠癌致急性肠梗阻行急诊一期肠切除吻合治疗体会

目的探讨左半结、直肠癌致急性肠梗阻行急诊一期肠切除吻合术的可行性和安全性。方法回顾性分析2002～2009年我院收治的38例（A组）左半结、直肠癌致急性梗阻行急诊一期切除吻合术的患者资料,与同期44例（B组）术前确诊左半结、直肠癌行择期手术的患者资料进行比较。结果急诊行一期肠切除吻合38例（A组）,术后发生吻合口漏2例,切口感染6例,同期44例（B组）术前确诊左半结、直肠癌行择期手术的患者术后发生吻合口漏2例,切口感染5例,两组均无手术死亡患者,术后吻合口漏发生率、切口感染率、术后进食时间和出院时间比较均差异无统计学意义（P〉0.05）。结论左半结、直肠癌致急性梗阻行急诊一期肠切除吻合术是安全可行的,明显缩短住院时间,降低费用,减轻患者二期手术的痛苦。

Treatment of left half colorectal cancer with acute intestinal obstruction caused by an emergency resection and an anastomosis

Objective Explore the left half of colorectal cancer induced acute intestinal obstruction with emergent bowel resection and anastomosis of a feasibility and safety.Methods Retrospective analysis of 2002~2009,Chaozhou City,Guangdong Province,38 cases admitted to hospital （A group） left colorectal obstruction caused by acute emergent one case of bowel resection and anastomosis of the data,with the same period in 44 cases （B group） left preoperative diagnosis of colorectal cancer line information on elective surgery patients were compared.Results Emergency line of a bowel resection and anastomosis of 38 cases （A group）,postoperative anastomotic leakage in 2 cases,wound infection in 6 cases,the same period 44 cases （B group） left preoperative diagnosis of colorectal cancer patients undergoing elective surgery line operation occurred after anastomotic leakage in 2 cases,wound infection in 5 cases, There were no operative deaths,the incidence of postoperative anastomotic leakage, incision infection,after feeding time and there was no significant difference compared discharge time（P0.05）.Conclusion Left half colorectal cancer caused by an acute intestinal obstruction with emergent resection and anastomosis is safe and feasible; significantly reduced hospitalization time,reduce costs,mitigate the suffering of patients with two operations.