Cubertafond P, Chameaud J, Gainant A, Gandara F
Chirurgie. 1989;115(3):238-43; discussion 244.
The authors report the results of a latero-lateral colorectal anastomotic technique which includes a wide rectoplasty. Analysis is based on 46 patients with a post-operative follow-up of between 2 and 8 years. 1 patient suffered from congenital mega-colon and 45 from adenocarcinoma of the upper half of the rectum. 4 of the anastomoses followed colostomy for obstruction and 4 others were followed by a protective colostomy. Two post-operative deaths occurred and there were 3 anastomotic fistulae, one of which was asymptomatic. Hepatic metastases occurred in 10 cases and were associated with loco-regional recurrence in 5 cases. The functional results were excellent. In survivors with no evidence of local recurrence there were no cases of stenosis of the anastomosis.
作者报告了一种包括广泛直肠成形术的侧-侧结直肠吻合技术的结果。分析基于46例患者，术后随访时间为2至8年。1例患者患有先天性巨结肠，45例患有直肠上半段腺癌。4例吻合术是在因梗阻行结肠造口术后进行的，另外4例则是在保护性结肠造口术后进行的。发生了2例术后死亡，有3例吻合口瘘，其中1例无症状。10例发生肝转移，5例伴有局部区域复发。功能结果极佳。在无局部复发证据的幸存者中，没有吻合口狭窄的病例。
