Berger A, Tiret E, Parc R, Frileux P, Hannoun L, Nordlinger B, Ratelle R, Simon R
Department of Digestive Surgery, Hopital Saint Antoine, Paris, France.
World J Surg. 1992 May-Jun;16(3):470-7. doi: 10.1007/BF02104450.
The results of rectal excision with colonic pouch-anal anastomosis are reviewed from a series of 162 patients covering 7 years. All patients have been operated upon in the same institution and consecutively. The follow-up is now sufficient to allow an accurate evaluation of the outcome of the patients. The main goal of this study was to provide a detailed report of the functional results. Continence was satisfactory in 96% of the patients, with either a perfect continence or minor troubles that would not have been detectable other than by a rigorous questioning. The mean number of bowel movements was 2 per 24 hours. Fragmentation of the defecation and urgency were absent. Twenty-five per cent of the patients had to elicit the evacuation of the reservoir with a suppository or an enema. Improvement of function yielded by a reservoir over straight colo-anal and low colo-rectal anastomoses are significant and, as suggested by manometric studies, are directly related to the restoration of a reservoir function.
回顾了在7年时间里对162例患者进行结肠袋肛管吻合直肠切除术的结果。所有患者均在同一机构连续接受手术。目前的随访时间足够长，能够对患者的预后进行准确评估。本研究的主要目的是提供一份关于功能结果的详细报告。96%的患者控便情况令人满意，要么完全控便，要么只有轻微问题，若不进行严格询问则无法察觉。平均每24小时排便2次。不存在排便碎片化和急迫感。25%的患者需要用栓剂或灌肠剂来促使储袋排空。与直结肠肛管吻合术和低位结肠直肠吻合术相比，储袋带来的功能改善非常显著，正如测压研究所示，这与储袋功能的恢复直接相关。
