Moreaux J, Horiot A, Barrat F, Mabille J
Am J Surg. 1984 Nov;148(5):640-4. doi: 10.1016/0002-9610(84)90342-8.
From 1979 through 1982, removal of the rectum for cancer in 67 patients (50 of whom underwent preoperative radiotherapy) was completed by obliteration of the resulting dead space with pedicled omentum. No complication could be related to the method. After abdominoperineal resection (54 patients), primary healing of the perineal wound was achieved in 77 percent of the patients (85 percent during the last 2 years), and the mean postoperative hospital stay was 22 days. Minor perineal suppuration occurred in 10 patients with a 40 day average time of healing, and major suppuration occurred in 1 patient only with a 3 month time of healing. After the extended Hartmann operation (12 patients), no pelvic abscess was observed and the median hospitalization stay was 19 days. Pelvic filling in the management of patients undergoing rectal excision is an adjunctive procedure that is mainly intended to provide a better postoperative course. It might also facilitate postoperative radiotherapy.
1979年至1982年期间，对67例直肠癌患者（其中50例接受了术前放疗）实施了直肠切除术，通过带蒂大网膜填充术后形成的死腔完成手术。未发现与该方法相关的并发症。在经腹会阴联合切除术（54例患者）后，77%的患者会阴伤口一期愈合（过去两年中为85%），术后平均住院时间为22天。10例患者出现轻度会阴化脓，平均愈合时间为40天，仅1例患者出现重度化脓，愈合时间为3个月。在扩大的哈特曼手术（12例患者）后，未观察到盆腔脓肿，中位住院时间为19天。直肠切除患者管理中的盆腔填充是一种辅助手术，主要目的是使术后病程更顺利。它还可能便于术后放疗。
