Fedorov V D, Brusilovskiĭ M I, Odariuk T S
Vopr Onkol. 1978;24(4):12-7.
The authors present the analysis of 353 abdomino-anal resections of the rectum with a pull-through procedure on the colon. Different postoperative complications were noted in 88 patients (24.9%), 59 of them (16.7%) developed complications typical for the procedure concerned (necrosis of the descended colon, colovaginal fistula). Due to a high level of the descended colon necrosis 24 patients (6.7%) were subjected to the reoperation - a double trunk transversostomy to exclude feces. In 37 patients with necrosis of the descended intestine a principally new method of treatment with colonic enemas was employed. As a result, there was a possibility to avoid colostomy and to liquidate diastasis between the descended colon and anal canal in 33 patients. The postoperative mortality among patients, subjected to abdomino-anal resection of the rectum with a pull-through procedure on different portions of the colon, made 3.1 per cent.
作者介绍了353例经结肠拖出术的腹-肛门直肠切除术的分析情况。88例患者（24.9%）出现了不同的术后并发症，其中59例（16.7%）发生了该手术相关的典型并发症（降结肠坏死、结肠阴道瘘）。由于降结肠坏死程度较高，24例患者（6.7%）接受了再次手术——双腔横结肠造瘘术以排除粪便。在37例降结肠坏死患者中，采用了一种全新的结肠灌肠治疗方法。结果，33例患者有可能避免结肠造口术，并消除降结肠与肛管之间的分离。接受不同部位结肠拖出术的腹-肛门直肠切除术患者的术后死亡率为3.1%。
