Vandamme J P, Timmermans T, Steyaert P
Acta Chir Belg. 1986 Sep-Oct;86(5):255-8.
One hundred consecutive elective resections with hand suture of the left colon and rectum without a protective colostomy are reported. The absence of clinical fistulas, wound infections and abcesses indicates the safety and the feasability of this approach. There was a two per cent mortality rate. The article stresses the importance of a good suturing technique, good preparation, the judicious use of anti-anaerobic drugs, the use of plastic ring drapes and the changing of gloves, drapes and instruments before wound closure. The absence of leakage and of septic complications lowers dramatically the overall complication rate.
本文报告了100例连续进行的左半结肠和直肠择期切除术，均采用手工缝合且未行保护性结肠造口术。无临床瘘、伤口感染及脓肿发生，表明该方法具有安全性和可行性。死亡率为2%。文章强调了良好缝合技术、充分准备、合理使用抗厌氧菌药物、使用塑料环布单以及在伤口闭合前更换手套、布单和器械的重要性。无渗漏及脓毒症并发症显著降低了总体并发症发生率。
