高压氧治疗晚期低位结直肠吻合口缺血：病例报告。
Hyperbaric oxygen treatment for late low colorectal anastomosis ischaemia: Case report.
机构信息
Department of Biomedical Science for Health, Division of General Surgery, University of Milan, Istitituto Clinico Sant'Ambrogio, Milan, Italy.
Corresponding author: Dr Marcello Sanzi, Istituto Clinico Sant'Ambrogio, Via Luigi Giuseppe Faravelli, 16, 20149 Milan, Italy,
出版信息
Diving Hyperb Med. 2021 Mar 31;51(1):116-118. doi: 10.28920/dhm51.1.116-118.
INTRODUCTION
This report describes the use of hyperbaric oxygen treatment (HBOT) to treat a case of colorectal anastomosis ischaemia following colorectal surgery.
CASE REPORT
A 47-year-old man developed post-operative colorectal anastomosis ischaemia with leak after laparoscopic low anterior resection for T3N0 adenocarcinoma of the rectum. The leak with concomitant ischaemia presented 17 days after surgery. HBOT was administrated in 11 sessions over three weeks and the patient followed endoscopically and radiologically for two months. At two months the anastomosis showed both endoscopic and radiological healing; therefore the ileostomy was closed. Anal function was satisfactory with no incontinence or evidence of sepsis.
CONCLUSIONS
Intra-operative or late leak with concomitant ischaemia of a colorectal anastomosis is a challenging event in colorectal surgery. HBOT may be beneficial in promoting healing in selected patients. Further studies are needed to evaluate conservative treatments and the role of HBOT.
简介
本报告描述了高压氧治疗（HBOT）在治疗一例结直肠手术后吻合口缺血的应用。
病例报告
一名 47 岁男性因 T3N0 直肠腺癌行腹腔镜低位前切除术，术后发生吻合口缺血性漏。术后 17 天出现漏合并缺血。在 3 周内进行了 11 次 HBOT 治疗，患者接受了内镜和影像学检查随访 2 个月。2 个月时，吻合口内镜和影像学均显示愈合；因此关闭了回肠造口。肛门功能满意，无失禁或感染迹象。
结论
结直肠吻合口术中或迟发性漏合并缺血是结直肠手术中的一个具有挑战性的事件。HBOT 可能有益于促进某些患者的愈合。需要进一步研究来评估保守治疗和 HBOT 的作用。
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