Department of Colorectal Surgery, University College Hospital Galway, Galway, Ireland,
Tech Coloproctol. 2014 Mar;18(3):309-11. doi: 10.1007/s10151-012-0814-9. Epub 2012 Mar 8.
Retroileal colorectal anastomosis is an infrequently used technique providing tension-free anastomosis after extended left-sided colonic resection, which was first described by Turnbull in 1972. The authors describe the use of a retroileal colorectal anastomosis in a patient with chronic Candida albicans and Enterococcal retroperitoneal abscess. The patient's condition was most likely secondary to an anastomotic leak and colonic fistula post en bloc resection for recurrence of a left renal cell carcinoma. After failure of antimicrobial therapy and percutaneous drainage, surgical intervention was required. This involved resection of the existing colocolonic anastomosis and drainage of the retroperitoneal abscess. A retroileal colorectal anastomosis was then necessary to ensure a tension-free anastomosis. To the best of our knowledge, this is the first reported case of retroileal anastomosis used for this purpose. It highlights the importance of this technique in the surgeon's armamentarium.
回肠直肠吻合术是一种不常使用的技术，可在广泛的左侧结肠切除术后提供无张力吻合，该技术由 Turnbull 于 1972 年首次描述。作者描述了在一位患有慢性白色念珠菌和肠球菌腹膜后脓肿的患者中使用回肠直肠吻合术。患者的情况很可能是由于吻合口漏和结肠瘘，在整块切除左肾细胞癌复发后发生。在抗菌治疗和经皮引流失败后，需要进行手术干预。这包括切除现有的结肠直肠吻合术和引流腹膜后脓肿。然后需要进行回肠直肠吻合术以确保无张力吻合。据我们所知，这是首例为此目的使用回肠吻合术的报告病例。它强调了该技术在外科医生的武器库中的重要性。
