Parc R, Tiret E, Frileux P, Moszkowski E, Loygue J
Br J Surg. 1986 Feb;73(2):139-41. doi: 10.1002/bjs.1800730223.
Sphincter-saving operations are now generally accepted for the treatment of mid-rectal cancers. Many techniques have been described: low colorectal anastomosis, pull-through procedures, and colo-anal anastomosis. The functional results following these operations are impaired by loss of the reservoir function of the rectum. In order to improve these results, a modification of Parks' colo-anal anastomosis is proposed. A J-shaped colic reservoir is constructed and its end is anastomosed to the anal canal. We have operated upon 31 patients using this technique. Mortality was 3.3 per cent. Functional results were evaluated in 24 patients having a follow-up of more than 3 months. All were continent; mean number of bowel movements was 1.1 per day. Defaecation was spontaneous in 75 per cent of cases; in the remaining 25 per cent, evacuation of the reservoir was elicited by a small enema each two days. This technique, creating a neo-rectum, can achieve an important place among the sphincter-saving operations.
保留括约肌手术目前已被广泛接受用于治疗直肠中段癌。已描述了多种技术：低位结直肠吻合术、拖出术和结肠肛管吻合术。这些手术后的功能结果因直肠储存功能丧失而受损。为了改善这些结果，我们提出了对帕克斯结肠肛管吻合术的一种改良方法。构建一个J形结肠储袋，其末端与肛管吻合。我们使用该技术对31例患者进行了手术。死亡率为3.3%。对24例随访超过3个月的患者进行了功能结果评估。所有患者均能控制排便；平均每日排便次数为1.1次。75%的病例排便自然；其余25%的病例每两天需用小剂量灌肠剂刺激储袋排空。这种创建新直肠的技术在保留括约肌手术中可占据重要地位。
