Vorob'ev S A, Levchik E Iu
Vestn Khir Im I I Grek. 2009;168(4):81-4.
Results of operative treatment of 93 patients with tubular small and large intestine fistulas were analyzed depending on the operative access and volume of interventions. In the postoperative period incompetence of the intestinal anastomosis and recurrent intestine fistulas are found more often in the group of patients with not removed causes of maintenance of the fistula persistence. These complications are rarer in patients operated from the bordering access with liquidation of the cause of long existence of the fistula. The liquidation of the persistence causes and operative access some distance away from the external opening of the fistula resulted in the absence of incompetence of the intestinal anastomosis and recurrent fistulas.
根据手术入路和干预范围，分析了93例管状小肠和大肠瘘患者的手术治疗结果。在术后期间，瘘管持续存在的原因未消除的患者组中，肠吻合口功能不全和复发性肠瘘更为常见。在通过毗邻入路进行手术并消除瘘管长期存在原因的患者中，这些并发症较少见。消除持续存在的原因并采用距离瘘管外口一定距离的手术入路，可避免肠吻合口功能不全和复发性瘘管的发生。
