慢性溃疡性结肠炎的全结肠直肠切除术及布鲁克回肠造口术
Proctocolectomy and brooke ileostomy for chronic ulcerative colitis.
作者信息
Dozois Eric J
机构信息
Division of Colon and Rectal Surgery, Mayo Clinic Foundation, Rochester, MN 55905, USA.
出版信息
Clin Colon Rectal Surg. 2004 Feb;17(1):65-70. doi: 10.1055/s-2004-823072.
Abstract
Proctocolectomy and permanent ileostomy is an option for selected patients with ulcerative colitis. Current indications include the elderly, patients with poor anal continence, and those with malignant lesions of the low rectum. Advantages of this procedure are that it has fewer complications than an ileal pouch-anal anastomosis, it is a one-stage operation removing all the diseased mucosa, and it is a relatively straightforward operation. The operative technique is discussed.
摘要
全结肠直肠切除术及永久性回肠造口术是部分溃疡性结肠炎患者的一种选择。目前的适应症包括老年人、肛门节制功能差的患者以及低位直肠恶性病变患者。该手术的优点是并发症比回肠贮袋肛管吻合术少，是一种一期手术可切除所有病变黏膜，且手术相对简单。本文讨论了手术技术。
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