Vorob'ev G I, Salamov K N, Mints Ia V, Vyshegorodtsev D V
Khirurgiia (Mosk). 1991 May(5):45-50.
From 1972 to 1988 restorative operations were carried out at the Institute of Proctology on 252 patients after resection of the colon by Hartmann's technique. Analysis showed that restoration of natural intestinal passage after Hartmann's operation for resection of the colon is a complex and dangerous surgical intervention. When undertaking such intervention, the surgeon should take into account not only the patient's wish to be relieved from the colostomy, but also correct appraisal of the possibility of accomplishing the restorative operation from the standpoint of the patients' somatic condition, the technical conditions for restoration of intestinal continuity, and his own professional possibilities. In cases of a short rectal stump, various modifications of Duhamel's operation are the most safe and technically executable method for restoration of the natural intestinal passage. Such restorative-reconstructive operations should be carried out in specialized coloproctological clinics.
1972年至1988年期间，直肠病学研究所在252例采用哈特曼技术切除结肠后的患者身上进行了修复手术。分析表明，哈特曼结肠切除术后恢复自然肠道通路是一项复杂且危险的外科手术。进行此类手术时，外科医生不仅应考虑患者摆脱结肠造口术的愿望，还应从患者的身体状况、恢复肠道连续性的技术条件以及自身专业能力的角度，正确评估完成修复手术的可能性。在直肠残端较短的情况下，各种改良的杜哈梅尔手术是恢复自然肠道通路最安全且技术上可行的方法。此类修复重建手术应在专门的结肠直肠病诊所进行。
