Sanò M, Rizzo A G, Cingari E, Ilaqua A, Lemma G, Barbuscia M, Lemma F
Università degli Studi di Messina, U.O.C. di Chirurgia Oncologica.
G Chir. 2009 Nov-Dec;30(11-12):482-6.
Authors report their experience about neoplastic large bowel obstructions and present two cases of anastomotic leakage resolution by means of transtomy wash-out. They observe that the most important problem in this surgery is anastomotic leakage which, if small, can be solved in a non operative way. According with literature, they also point out anastomotic leakage is commonly due to the impossibility of a correct preparation of colon to operation in emergency. They conclude it is possible, in case of little leakages, to perform trans-stomy wash out which permits a good toilette and sterilization of the colon.
作者报告了他们关于肿瘤性大肠梗阻的经验,并介绍了两例通过造口冲洗解决吻合口漏的病例。他们观察到,该手术中最重要的问题是吻合口漏,如果漏口较小,可以通过非手术方式解决。根据文献,他们还指出,吻合口漏通常是由于在急诊情况下无法正确准备结肠以便进行手术。他们得出结论,在漏口较小的情况下,可以进行经造口冲洗,这有助于对结肠进行良好的清洁和消毒。