Marks C G, Ritchie J K
Br J Surg. 1975 Nov;62(11):901-5. doi: 10.1002/bjs.1800621111.
The complications of synchronous combined excision of the rectum for adenocarcinoma in 227 patients were analysed. Urinary retention with infection occurred in 78 patients (34-4 per cent) and was the commonest complication. There was a significant correlation between tumours involving the anterior quadrants of the rectum and urinary complications. Primary suture of the perineal wound with closed drainage was associated with a higher incidence of complications than open drainage. The cumulative risk of a paracolostomy hernia in the sixth postoperative year was approximately 33 per cent. Extraperitoneal colostomy gave some protection against paracolostomy herniation.
对227例直肠癌同步联合切除的并发症进行了分析。78例患者（34.4%）发生尿潴留伴感染，这是最常见的并发症。累及直肠前象限的肿瘤与泌尿系统并发症之间存在显著相关性。会阴伤口一期缝合加闭式引流的并发症发生率高于开放引流。术后第6年结肠造口旁疝的累积风险约为33%。腹膜外结肠造口对预防结肠造口旁疝有一定作用。
