Meister R, Gall F P
Chirurgische Klinik Universität Erlangen-Nürnberg.
Langenbecks Arch Chir. 1987;372:401-6. doi: 10.1007/BF01297854.
In the last ten years, approximately 200 mucosal proctectomies have been performed as an alternative to proctocolectomy, but also as an alternative to ileorectostomy in cases of UC and AC. Operative mortality is minimal but the rate of early postoperative complications is considerable (greater than 10%). After an adaptive phase, however, functional results are generally good. The substantial risks of ileorectostomy in AC (degeneration rate up to 20%) and in UC (inflammation relapse 20-30%, secondary degeneration approximately 5%) have led to the establishment of mucosal proctectomy as the treatment of choice in the larger surgical centres.
在过去十年中，大约进行了200例黏膜直肠切除术，作为全直肠结肠切除术的替代方法，同时在溃疡性结肠炎（UC）和慢性结肠炎（AC）病例中也作为回肠直肠吻合术的替代方法。手术死亡率极低，但术后早期并发症发生率相当高（超过10%）。然而，经过适应期后，功能结果总体良好。AC中回肠直肠吻合术的重大风险（退变率高达20%）以及UC中回肠直肠吻合术的风险（炎症复发率20 - 30%，继发性退变约5%），已促使黏膜直肠切除术在较大的外科中心成为首选治疗方法。
