Denecke H, Stiegler H
Chirurgische Universitätsklinik München.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:311-5.
In acute mesenteric infarction (AMI) assessment of bowel vitality after surgery remains to be a difficult problem for which second-look-operation was recommended. From 1977-1989, 115 patients were operated on AMI (explor. laparotomy: n = 28, resection and/or revascularization n = 87). In 36/87 patients, a planned second look was performed for control of vitality or lavage. In 10/87 patients, re-resection was performed, of whom 5 patients survived. By the second-look, 6% of 87 patients could be saved. Over all survival was 41.7%.
在急性肠系膜梗死（AMI）中，术后评估肠活力仍然是一个难题，对此有人建议进行二次探查手术。1977年至1989年期间，115例患者接受了AMI手术（剖腹探查术：n = 28例，切除和/或血管重建术n = 87例）。在87例患者中的36例中，为了控制活力或进行灌洗而进行了计划性二次探查。在87例患者中的10例中进行了再次切除，其中5例患者存活。通过二次探查，87例患者中的6%得以挽救。总体生存率为41.7%。
