经肛肠梗阻导管在左半结直肠肿瘤切除中的应用

目的：探讨腹腔镜联合经肛肠梗阻导管在左半结直肠肿瘤急性梗阻中的治疗价值。方法：将126例左半结直肠肿瘤急性梗阻病例随机分为2组，治疗组应用经肛肠梗阻导管行梗阻近段结肠减压、灌洗等治疗后，行腹腔镜手术并一期切除吻合；对照组按常规准备后手术治疗。结果：术后吻合口瘘发生率治疗组（1.6%）低于对照组（11.1%），治疗组住院时间、总住院费用和术后第7 d血清白蛋白水平与对照组比较有显著性差异（P＜0.01）。结论：腹腔镜联合肠梗阻导管置入冲洗减压，在左半结直肠肿瘤急性梗阻中的应用安全、有效。

Clinical Application of Laparoscopy Combined with Transanal Ileus Tube in Acute Obstruction Result-ed from Left Colorectal Tumors

Objective To evaluate the clinical effects of laparoscopy combined with transanal ileus tube in acute obstruction resulted from left colorectal tumors. Methods One hundred and 26 patients with left-sided colorectal cancer manifesting acute complete mechanical obstruction were divided into two groups. Patients in the treatment group received transanal ileus tube for decompression and drainage, and were performed radical re-section and anastomosis by laparoscopy after decompression in addition to similar therapy in control group. The control group was treated with routine medical therapy. Results Incidence rate of postoperative anastomotic leakage in the treatment group was significantly lower than that of control group. Hospitalization and the serum level of albumin 7 days postoperation in the treatment group was significantly different from that of control group （P＆lt;0.05）. The treatment group showed the lower cost of hospitalization. Conclusion It was effective and safe for patients with acute obstruction result from left colorectum using laparoscopy combined with transanal ile-us tube.