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[小肠和大肠去血管化(失活)及其作为手术方法在治疗应用中的潜力]

[Small and large intestine devascularization (devitalization) and potentials in the therapeutic use of this operative method].

作者信息

Fortýn K, Hradecký J, Pazdera J, Klaudy J, Hruban V, Dvorák P, Matousek J, Tichý J, Kolín V

出版信息

Z Exp Chir Transplant Kunstliche Organe. 1985;18(1):42-50.

PMID:2986369
Abstract

The experimental findings with devitalization of various intestinal segments by means of devascularization showed that the isolated segments left in peritoneal cavity (together with their contents) were gradually destroyed and changed into a slight fibrous residue. The retaining of the up to 180 cm long segment did not endanger the life of experimental animals. This experience was used in the surgical treatment of inoperable tumours in left half of large intestine and in rectosigmoideum. The case report of four successful operations is given together with two cases of invagination of the devitalized part into intestinal lumen.

摘要

通过血管离断使不同肠段失活的实验结果表明,留在腹腔内的孤立肠段(连同其内容物)会逐渐被破坏,变成少量纤维性残余物。保留长达180厘米的肠段不会危及实验动物的生命。这一经验被应用于大肠左半部分和直肠乙状结肠部无法手术切除的肿瘤的外科治疗中。文中给出了4例成功手术的病例报告,以及2例失活部分内陷至肠腔的病例。

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