Jünemann A, Sailer R, Derra E
Langenbecks Arch Chir. 1975 Nov 17;340(2):127-35. doi: 10.1007/BF01259420.
260 radically operations of carcinoma of the colon were carried out from 1963-1972; 163 of these operations have been done on the left part of the colon. The results of the one- and two-stage procedures were compared with the related literature. 46.5 per cent of the resected lymphnodes were affected by carcinoma. An expanded resection was done in 24 cases complicated with tumour perforation in adjacent organs. Among 147 one-stage left-side resections 20 insufficiencies of the anastomoses (13.5 per cent) were observed. To protect the anastomoses in 8 cases a coecal fistula and in 4 cases a fistula of the transverse colon were performed. There was no insufficiency of the anastomose. In 4 cases of two-stage precedures insufficiencies of the anastomose were found at the extraperitoneal replaced anus. The mortality was found to be 11.6 per cent. Peritonitis occurred in 18 cases: after 6 right sited and 12 left sited resections.
1963年至1972年间共进行了260例结肠癌根治手术；其中163例手术在结肠左侧进行。将一期和二期手术的结果与相关文献进行了比较。46.5%的切除淋巴结受到癌累及。对24例合并相邻器官肿瘤穿孔的病例进行了扩大切除术。在147例一期左侧切除术中，观察到20例吻合口漏（13.5%）。为保护吻合口，8例行盲肠造瘘，4例行横结肠造瘘，未出现吻合口漏。在4例二期手术中，腹膜外造口处发现吻合口漏。死亡率为11.6%。18例发生腹膜炎：6例右侧切除术后和12例左侧切除术后。
