Thomson W H, Carter S S
Br J Surg. 1986 Jan;73(1):61-3. doi: 10.1002/bjs.1800730125.
On table orthograde colonic lavage has been used in a nearly consecutive series of 122 cases of restorative rectal resection (16 for acutely obstructing rectosigmoid lesions), and in a further 4 cases of acutely obstructing left colonic carcinoma, with the aim of both achieving safer anastomoses in these adverse circumstances and avoiding a covering colostomy. The technique was found to be safe and to be effective, only five temporary colostomies being required for management of anastomotic leakage. The incidence of clinical anastomotic leakage was 4.8 per cent.
在手术台上进行顺行性结肠灌洗已应用于近连续的122例直肠保留切除术患者（其中16例为急性梗阻性直肠乙状结肠病变），以及另外4例急性梗阻性左半结肠癌患者，目的是在这些不利情况下实现更安全的吻合，并避免做保护性结肠造口术。结果发现该技术安全有效，仅5例因吻合口漏需要做临时结肠造口术。临床吻合口漏的发生率为4.8%。
