White C M, Macfie J
Dis Colon Rectum. 1985 Mar;28(3):155-7. doi: 10.1007/BF02554230.
A consecutive series of 35 patients with acute obstruction due to carcinoma of the left colon (29) or rectum (six) were treated by primary resection with anastomosis. The operation usually took the form of a left hemicolectomy or sigmoid resection without a proximal colostomy. There were three operative deaths (8.5 percent) due to anastomotic dehiscence, bronchopneumonia, and pulmonary embolism, respectively. Nonlethal complications occurred in ten patients (anastomotic leakage in three, a ureteric fistula in one, and wound infection in six). The mean duration of hospital stay in patients without complications was 18 days (range, 12 to 35). The morbidity and mortality in this series did not exceed the cumulative morbidity and mortality that would be expected after staged surgery. Compared with staged surgery, immediate resection and anastomosis, by avoiding the problems of colostomy and reducing the length of hospital stay, have significant advantages for the patient.
连续35例因左半结肠癌（29例）或直肠癌（6例）导致急性梗阻的患者接受了一期切除吻合术治疗。手术通常采用左半结肠切除术或乙状结肠切除术，不做近端结肠造口。有3例手术死亡（8.5%），分别死于吻合口裂开、支气管肺炎和肺栓塞。10例患者出现非致命性并发症（3例吻合口漏、1例输尿管瘘、6例伤口感染）。无并发症患者的平均住院时间为18天（范围12至35天）。本系列的发病率和死亡率未超过分期手术预期的累积发病率和死亡率。与分期手术相比，一期切除吻合术通过避免结肠造口问题并缩短住院时间，对患者具有显著优势。
