Lazorthes F, Fages P, Chiotasso P, Lemozy J, Bloom E
Br J Surg. 1986 Feb;73(2):136-8. doi: 10.1002/bjs.1800730222.
Rectal resection with colo-anal anastomosis was performed in 65 patients with carcinoma of the lower rectum. In 20 a pelvic colonic reservoir was constructed while in 45 a direct anastomosis was carried out. There were no postoperative deaths and morbidity was comparable in the two groups. Functional results were determined by clinical examination and manometry. The frequency of bowel movements was inversely related to the maximum tolerated volume (P less than 0.001). During the first year 60 per cent of the patients with a reservoir and 33 per cent of the patients without had one or two stools per day (P less than 0.05). After one year, 86 per cent of the patients with a reservoir and 33 per cent of the patients without had one or two bowel movements per day (P less than 0.01). The maximum tolerated volume was increased by the reservoir (P less than 0.05). The loss of reservoir capacity of the rectum increases frequency of bowel movements in colo-anal anastomosis. The creation of a colonic reservoir improves function by increasing the maximum tolerated volume without any increase in mortality or morbidity.
对65例低位直肠癌患者实施了直肠切除术并进行结肠肛管吻合术。其中20例构建了盆腔结肠贮袋，45例进行了直接吻合。术后无死亡病例，两组的发病率相当。通过临床检查和测压法确定功能结果。排便频率与最大耐受容量呈负相关（P<0.001）。在第一年，有贮袋的患者中60%以及没有贮袋的患者中33%每天排便一到两次（P<0.05）。一年后，有贮袋的患者中86%以及没有贮袋的患者中33%每天排便一到两次（P<0.01）。贮袋使最大耐受容量增加（P<0.05）。直肠贮袋容量的丧失会增加结肠肛管吻合术后的排便频率。构建结肠贮袋通过增加最大耐受容量来改善功能，且不增加死亡率或发病率。
