Objective To explore the feasibility and method of colonic irrigation for malignant left colonic obstruction. Methods Patients with malignant bowel obstruction in left colon treated by full colonic irriga-tion in Guangji hospital from 2005 to 2011 were analyzed retrospectively. Results 25 patients, including 4 cases of splenic colon, 6 cases of descend colon, 13 cases of sigmoid colon and 2 cases of the junction of rectum and sigmoid colon were underwent full colonic irrigation before anastomosis. No serious complication, such as deaths, anastomotic leakage or intra-abdominal infections were found after operation, postoperative wound infection in 2 case, pulmonary infection in 2 cases, patients stayed in hospital about 10 to 15 day after operation. Conclusion It is feasibiity and safety for resection and anastomosis in patients with malignant left colonic obstruction after a full colonic irrigation.%目的 探讨全结肠灌洗术后I期切除吻合治疗左半结肠癌并梗阻的方法及可行性.方法 对我院于2005年4月至2011年5月行全结肠灌洗术后I期切除吻合治疗25例左半结肠癌并梗阻的临床资料进行回顾性分析.结果 术后并发切口感染2例,肺部感染2例,无1例发生吻合口漏或腹腔感染,全组无手术死亡,10~15 d临床治愈出院.结论 全结肠灌洗术后I期切除吻合治疗左半结肠癌并梗阻可使患者免去分期手术、多次手术的痛苦;只要进行充分的围手术期处理,全结肠灌洗术后I期切除吻合治疗左半结肠癌并梗阻安全可行.
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