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[憩室病中结肠切除范围的确定]

[Determination of colon resection limits in diverticulosis].

作者信息

Salamov K N, Vorob'ev G I, Achkasov S I, Moskalev A I, Bolikhov K V

出版信息

Khirurgiia (Mosk). 2001(1):80-5.

Abstract

Results of surgical treatment of 112 patients with colon diverticulosis are analyzed. It is established that during operation it is necessary to perform such scope of resection which permits to create anastomosis between colon parts without their discoordination. The risk of complications from anastomosis decreases to 3.7%. The creation of anastomosis with significant discoordination leads to high risk of its insufficiency. It is desirable to resect the colon's parts with moderate discoordination. When the extension of of resection margins due to parts with moderate discoordination is dangerous, it is possible to create the anastomosis with ileo- or colostoma. In this case the risk of inflammatory complications remains, but conservative treatment of these complications in the conditions of feces efflux is effective.

摘要

对112例结肠憩室病患者的手术治疗结果进行了分析。确定在手术过程中,有必要进行这样的切除范围,即允许在结肠各部分之间建立吻合且无不协调情况。吻合口并发症的风险降至3.7%。存在明显不协调情况下进行吻合会导致吻合口漏的高风险。对于存在中度不协调的结肠部分,切除是可取的。当由于中度不协调部分而扩大切除边缘有危险时,可以行回肠或结肠造口吻合。在这种情况下,炎症并发症的风险仍然存在,但在粪便排出的情况下对这些并发症进行保守治疗是有效的。

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