Hardy T G, Stewart W R, Aguilar P S
Dis Colon Rectum. 1985 Feb;28(2):122-7. doi: 10.1007/BF02552662.
Four patients with partial obstruction of the colon, in whom adequate standard preparation for colonic resection was not possible, are presented. Clinically, these patients did not show sufficient signs of obstruction to require a preliminary colostomy. A technique of quarantining the area of tumor resection from the abdominal cavity is described, allowing for adequate preparation of the colon lumen at the site of anastomosis. After completion of the anastomosis, a large caliber (36 French) colonic tube is inserted, per rectum, through the anastomosis and the proximal colon irrigated with Betadine solution adequately emptying and sterilizing the lumen of the bowel to allow for primary anastomosis without a protective colostomy. The criteria for selection of patients for this technique are discussed. No complications, of significance, ensued. This method of intraoperative rectal tube irrigation, for prevention of colostomy in partial colonic obstruction, is safe when properly performed in the appropriate patient.
本文介绍了4例结肠部分梗阻患者，这些患者无法进行充分的结肠切除标准准备。临床上，这些患者没有表现出足够的梗阻迹象，因此不需要进行初步结肠造口术。本文描述了一种将肿瘤切除区域与腹腔隔离的技术，该技术可在吻合部位对结肠腔进行充分准备。吻合完成后，经直肠插入一根大口径（36法式）结肠管，穿过吻合口，并用碘伏溶液冲洗近端结肠，充分排空和消毒肠腔，以便进行一期吻合而无需保护性结肠造口术。文中讨论了该技术患者的选择标准。未出现重大并发症。这种术中直肠管冲洗方法，用于预防部分结肠梗阻中的结肠造口术，在合适的患者中正确实施时是安全的。
