Huber A, von Hochstetter A, Allgöwer M
Am Surg. 1987 May;53(5):247-53.
The parasacral transsphincteric-translevatoric approach has proved of great interest in surgery of the lower rectum and urogenital organs. Due to this experience, anatomic specimens of the pelvic floor and pelvic organs were prepared in order to perfect the operative technique. The anatomic specimens show the pelvic floor and sphincter muscles and the blood supply by the pudendal vessels and nerve, as well as the topography of pelvic organs and fascias from the view of a surgeon performing parasacral surgery. The clinical experience with 118 cases of parasacral translevatoric-transsphincteric interventions at the Departments of Surgery of the University Hospital, Basel, and the Canton Hospital, Luzern, Switzerland, is presented. The results were mainly good. The operation technique is illustrated with selected cases of rectum resection, procedures for treatment of urethrorectal fistulas, reconstruction of pelvic floor for malformations, and reconstruction of injured urethra.
经骶旁经括约肌-经提肌入路已被证明在低位直肠和泌尿生殖器官手术中具有重要意义。基于这一经验，制备了盆底和盆腔器官的解剖标本，以完善手术技术。这些解剖标本展示了盆底和括约肌肌肉、阴部血管和神经的血液供应，以及从进行骶旁手术的外科医生角度看盆腔器官和筋膜的形态。本文介绍了瑞士巴塞尔大学医院和卢塞恩州立医院外科对118例经骶旁经提肌-经括约肌干预的临床经验。结果总体良好。通过直肠切除、尿道直肠瘘治疗、畸形盆底重建和损伤尿道重建的精选病例说明了手术技术。
