哈特曼手术后早期吻合术的经验。
Experience with early anastomosis after the Hartmann procedure.
作者信息
Geoghegan J G, Rosenberg I L
机构信息
North Tees General Hospital, Stockton-on-Tees, Cleveland.
出版信息
Ann R Coll Surg Engl. 1991 Mar;73(2):80-2.
From January 1980 to December 1989, 108 Hartmann procedures were performed and 55 of these patients subsequently had colorectal continuity re-established. Thirty-eight patients had colorectal anastomosis after an average interval of 6.5 months and 17 had early anastomosis performed within 1 month of the primary procedure. On the basis of the experience reported here, it would seem that early colorectal anastomosis does not increase the risk to the patient and may be an easier procedure to perform than the delayed operation. For selected patients, we recommend early colorectal anastomosis after a Hartmann procedure, thus sparing them the problems of life with a temporary colostomy.
1980年1月至1989年12月期间，共实施了108例哈特曼手术，其中55例患者随后恢复了结直肠连续性。38例患者在平均6.5个月的间隔后进行了结直肠吻合术，17例患者在初次手术后1个月内进行了早期吻合术。基于此处报告的经验，早期结直肠吻合术似乎不会增加患者风险，并且可能比延迟手术更容易实施。对于选定的患者，我们建议在哈特曼手术后进行早期结直肠吻合术，从而使他们免受临时结肠造口带来的生活问题。
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