Ignjatovic D, Bergamaschi R
Bergen University School of Medicine, Forde Health System, Central Teaching Hospital, Forde, Norway.
Acta Chir Iugosl. 2002;49(2):25-6. doi: 10.2298/aci0202025i.
Anterior resection for the treatment of full thickness rectal prolapse has been around for over four decades. 1 However, its use has been limited due to fear of anastomotic leakage and related morbidity. It has been shown that high anterior resection is preferable to its low counterpart as the latter increases complication rates. 2 Although sparing the inferior mesenteric artery in sigmoid resection for diverticular disease has been shown to decrease leak rates in a randomized setting, 3 vascular division is current practice. We shall challenged this current practice of dividing the mesorectum in anterior resection for complete rectal prolapse developing a technique that allows the preservation of the superior rectal artery.
用于治疗全层直肠脱垂的前切除术已经存在了四十多年。然而，由于担心吻合口漏及相关并发症，其应用受到限制。研究表明，高位前切除术优于低位前切除术，因为低位前切除术会增加并发症发生率。虽然在憩室病乙状结肠切除术中保留肠系膜下动脉已被证明在随机对照研究中可降低漏率，但目前的做法仍是进行血管离断。我们将挑战在完全性直肠脱垂前切除术中离断直肠系膜的现行做法，开发一种能够保留直肠上动脉的技术。
