Tan S G, Nambiar R, Rauff A, Ngoi S S, Goh H S
Department of Surgery, Singapore General Hospital.
Arch Surg. 1991 Jun;126(6):748-51. doi: 10.1001/archsurg.1991.01410300094014.
Intraoperative colonic irrigation followed by one-stage resection is gaining popularity as the optimal surgical treatment for left-sided colonic obstruction. However, its efficacy and potential hazards have not been adequately tested in obstruction due to colonic cancer. We analyzed the early results of 23 consecutive patients with obstructive left-sided colonic carcinoma treated by primary resection and anastomosis following intraoperative antegrade colonic lavage. Two patients (8.6%) died, one from complication of anastomotic leakage. The significant postoperative complications were chest infection in three (13%) and wound infection in seven (30.4%). The average hospital stay was 16.5 days. The results of this study suggest that intraoperative bowel irrigation permits one-stage resection and anastomosis to be conducted with reasonable safety provided care is taken in operative techniques.
术中结肠灌洗后一期切除作为左侧结肠梗阻的最佳手术治疗方法正越来越受到欢迎。然而，其在结肠癌所致梗阻中的疗效和潜在风险尚未得到充分验证。我们分析了23例连续性左侧结肠癌梗阻患者在术中顺行结肠灌洗后行一期切除吻合术的早期结果。2例患者（8.6%）死亡，1例死于吻合口漏并发症。术后显著的并发症包括3例（13%）肺部感染和7例（30.4%）伤口感染。平均住院时间为16.5天。本研究结果表明，只要手术操作技术得当，术中肠道灌洗可使一期切除吻合术安全地进行。
