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[用于确保结肠和直肠吻合的自愈性盲肠瘘——现在这仍然适用吗?]

[Self-healing cecal fistulas for securing anastomoses of the colon and rectum--is this still indicated?].

作者信息

Ultsch B, Opitz G, Schmutzler M

出版信息

Langenbecks Arch Chir. 1985;366:435-8. doi: 10.1007/BF01836682.

DOI:10.1007/BF01836682
PMID:4058185
Abstract

UNLABELLED

During a period of 2.5 years self-healing coecostomies according to Stelzner (1970) were applied in 48 elective procedures to the left colon. The following operations were done by 16 different surgeons: left side hemicolectomy 5, sigma resection 24, anterior resection of the rectum 19, 13 of which had anastomoses less than 8 cm.

RESULTS

Mean postoperative hospital care 25.3 days, no clinical manifestation of anastomotic leaks, first passing of stool after a mean of 8.5 days. Lethality of 4.2% independent of anastomoses, spontaneous occlusion of fistulae after 42 +/- 26 days. 21% local not life-endangering complications occurred.

摘要

未标注

在2.5年的时间里,根据施特尔茨纳(1970年)的方法,对48例择期左半结肠手术采用了自愈性结肠造口术。以下手术由16位不同的外科医生完成:左侧半结肠切除术5例,乙状结肠切除术24例,直肠前切除术19例,其中13例吻合口小于8厘米。

结果

术后平均住院时间25.3天,无吻合口漏的临床表现,平均8.5天后首次排便。致死率为4.2%,与吻合口无关,瘘管在42±26天后自然闭合。发生21%的局部非危及生命的并发症。

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1
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Langenbecks Arch Chir. 1985;366:435-8. doi: 10.1007/BF01836682.
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本文引用的文献

1
[Self-healing cecal fistulas for the recurring of colonic and rectal anastomoses].[用于结肠和直肠吻合口复发的自愈性盲肠瘘]
Chirurg. 1970 Jun;41(6):281-3.