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World J Surg. 2015 Sep;39(9):2336-42. doi: 10.1007/s00268-015-3078-5.

本文引用的文献

1
Surgical options for malignant left-sided colonic obstruction.左侧恶性结肠梗阻的手术选择。
Surg Today. 2005;35(4):275-81. doi: 10.1007/s00595-004-2931-1.
2
Low end to side rectosigmoidal anastomosis; description of technic.低位乙状结肠直肠侧侧吻合术；技术描述。
Arch Surg (1920). 1950 Jul;61(1):143-57. doi: 10.1001/archsurg.1950.01250020146016.
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A simplified operative technique for single-staged resection of left-sided colon obstructions: report of a 9-year experience.
Surg Today. 2002;32(11):959-64. doi: 10.1007/s005950200192.
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Emergency surgery for obstructing colorectal cancers: a comparison between right-sided and left-sided lesions.梗阻性结直肠癌的急诊手术：右侧与左侧病变的比较
J Am Coll Surg. 2001 Jun;192(6):719-25. doi: 10.1016/s1072-7515(01)00833-x.
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Subtotal colectomy vs. intraoperative colonic irrigation in the management of obstructed left colon carcinoma.
Dis Colon Rectum. 1998 Jan;41(1):18-22. doi: 10.1007/BF02236890.
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Emergency surgery for colon cancer in the aged.老年结肠癌的急诊手术
Arch Surg. 1997 Sep;132(9):1032-7. doi: 10.1001/archsurg.1997.01430330098018.
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Malignant obstruction of the left colon.左半结肠恶性梗阻
Br J Surg. 1994 Sep;81(9):1270-6. doi: 10.1002/bjs.1800810905.
8
Surgical management of the acutely obstructed colon. A review of 127 cases.急性梗阻性结肠的外科治疗。127例病例回顾。
Am J Surg. 1988 Sep;156(3 Pt 1):163-8. doi: 10.1016/s0002-9610(88)80056-4.

急性恶性大肠梗阻结肠造口术中的端侧吻合术：带结肠造口的端侧吻合术（STEC手术）

Side-to-end anastomosis in a colostomy for acute malignant large-bowel obstruction: side-to-end anastomosis with a colostomy (STEC procedure).

作者信息

Fukami Yasuyuki, Terasaki Masaki, Sakaguchi Kenji, Murata Toru, Ohkubo Masayuki, Nishimae Kazumi

机构信息

Department of Surgery, Shizuoka Saiseikai General Hospital, 1-1-1 Oshika, Shizuoka, 422-8527, Japan.

出版信息

Surg Today. 2009;39(3):265-8. doi: 10.1007/s00595-008-3817-4. Epub 2009 Mar 12.

DOI:10.1007/s00595-008-3817-4
PMID:19280290
Abstract

This report describes the use of side-to-end anastomosis in a colostomy for an acute malignant large-bowel obstruction. A 59-year-old man presented with a colonic obstruction due to advanced descending colon cancer. The preoperative imaging studies revealed a complete obstruction of the descending colon at the site of the splenic flexure, a remarkably dilated transverse colon, and no other metastatic lesions. Side-to-end anastomosis was performed with the colostomy because of the high comorbidity associated with such cases. When the patient's general condition improved, a stoma closure was performed under local anesthesia. In conclusion, a side-to-end anastomosis with a colostomy (STEC procedure) was found to be a simple, useful, and cost-effective technique for an acute malignant large-bowel obstruction, particularly in a high-risk patient.

摘要

本报告描述了端侧吻合术在急性恶性大肠梗阻结肠造口术中的应用。一名59岁男性因降结肠癌晚期出现结肠梗阻。术前影像学检查显示，降结肠在脾曲处完全梗阻，横结肠明显扩张，且无其他转移病灶。由于此类病例合并症发生率高，故行结肠造口术时采用端侧吻合术。待患者一般情况改善后，在局部麻醉下进行造口关闭。总之，端侧吻合结肠造口术（STEC手术）被认为是一种治疗急性恶性大肠梗阻的简单、实用且经济有效的技术，尤其适用于高危患者。