Facy O, Lagoutte N, Jambet S, Radais F, Favre J-P, Rat P, Ortega Deballon P
Service de chirurgie digestive, thoracique et cancérologique, CHU Bocage, 2, boulevard Maréchal-de-Lattre-de-Tassigny, 21000 Dijon, France.
J Chir (Paris). 2009 Oct;146(5):458-63. doi: 10.1016/j.jchir.2009.09.001. Epub 2009 Oct 14.
A delayed colo-anal anastomosis has been proposed as a way to avoid diverting stoma after low anterior resection. Surgical and functional results were reviewed in 17 patients operated between 1999 and 2007 using this technique. Complications included one colonic necrosis, two pelvic abscesses and one colovaginal fistula. Results of continence and quality of life scores were satisfactory. Rates of parietal and septic complications are low after delayed colo-anal anastomosis and functional results are good. The use of this technique is particularly effective to avoid diverting ileostomy and for use in patients with a high risk of pouch fistula.
延迟性结肠肛管吻合术已被提议作为低位前切除术后避免造口转流的一种方法。对1999年至2007年间采用该技术手术的17例患者的手术和功能结果进行了回顾。并发症包括1例结肠坏死、2例盆腔脓肿和1例结肠阴道瘘。控便能力和生活质量评分结果令人满意。延迟性结肠肛管吻合术后腹壁和感染性并发症发生率较低，功能结果良好。该技术的应用对于避免回肠造口转流以及用于有袋瘘高风险的患者特别有效。
