Kalahanis N, Pikoulis E, Kontos N, Papaconstantinou I, Tziogios I, Gougoudi E, Prassas E, Bakogiannis C, Griniatsos J, Bastounis E
1st Department of Surgery, University of Athens, Laikon Hospital, Athens, Greece.
Zentralbl Chir. 2007 Apr;132(2):151-3; discussion 154. doi: 10.1055/s-2007-960665.
A new technique for the restoration of the continuity of the colon with preservation of an existing colostomy is described here. A 75-year-old male with a three-year history of abdominal-perineal resection and a well functioning end colostomy was admitted to our department for a second primary cancer of the descending colon. At operation the colon was divided close to the abdominal wall; the colostomy was left in situ while the descending colon and mesocolon were radically resected. The viability of the colostomy was being continuously inspected. An EEA stapler was then inserted through the colostomy and an anastomosis was created. Shortening the length of the operation and avoiding the possible complications that follow the creation of a new stoma are the major benefits of the technique. Still, the viability of the colostomy after its separation of the rest of the colon and mesocolon has to be ensured before proceeding.
本文介绍了一种在保留现有结肠造口的情况下恢复结肠连续性的新技术。一名75岁男性，有腹会阴切除术病史3年，末端结肠造口功能良好，因降结肠癌第二原发灶入住我科。手术时，在靠近腹壁处切断结肠；结肠造口保留原位，同时根治性切除降结肠和结肠系膜。持续检查结肠造口的活力。然后通过结肠造口插入EEA吻合器并进行吻合。缩短手术时间并避免新造口可能出现的并发症是该技术的主要优点。不过，在进行手术之前，必须确保结肠造口在与结肠和结肠系膜其余部分分离后的活力。
