目的探讨左半结肠癌并急性肠梗阻采用一期切除吻合术的可行性。方法回顾性分析36例左半结肠癌并急性肠梗阻采用一期切除吻合术的临床资料。结果本组全部手术成功,无围手术期死亡病例,无1例发生吻合口瘘及腹腔脓肿,术后发生肺部感染2例,切口感染3例,切口裂开1例。结论一期切除吻合术在左半结肠癌并急性肠梗阻中的应用是完全可行的。 Objective To investigate the feasibility of a one-stage resection and anastomosis for left-sided colon cancer with acute intestinal obstruction. Methods Retrospective analysis of 36 cases of left colon cancer and acute intestinal obstruction with a clinical data of anastomosis. Results All the operations were successful in this study. There were no perioperative deaths, no anastomotic fistula and abdominal abscess occurred. There were 2 cases of lung infection, 3 cases of incision infection and 1 case of incision rupture. Conclusion One-stage resection and anastomosis in the left colon cancer and acute intestinal obstruction in the application is entirely feasible.