Rombeau J L, Collins J P, Turnbull R B
Arch Surg. 1978 Aug;113(8):1004-5. doi: 10.1001/archsurg.1978.01370200098020.
Following resection of the sigmoid and descending colon for cancer or extensive diverticular disease, it may be impossible to make a colorectal anastomosis due to inadequate length of the residual transverse colon. To correct this problem, the remaining transverse colon may be pulled into the pelvis by making a "window" in the terminal part of the ileal mesentery. From January 1966 to January 1975, 302 resections of the descending colon with colorectal anastomoses were performed by one of the authors (R.B.T.) for upper sigmoid cancer and extensive diverticulitis at the Cleveland Clinic. Eleven patients (4%) had retroileal colorectal anastomoses. The retroileal apprach is a technical aid when performing an extensive left-sided colectomy and/or when there is insufficient length of residual transverse colon to make a tension-free colorectal anastomosis.
对于因癌症或广泛憩室病而进行乙状结肠和降结肠切除术后，由于残留横结肠长度不足，可能无法进行结直肠吻合术。为纠正这一问题，可通过在回肠系膜末端做一个“窗口”，将剩余的横结肠拉入盆腔。1966年1月至1975年1月，作者之一（R.B.T.）在克利夫兰诊所对高位乙状结肠癌和广泛憩室炎患者进行了302例降结肠切除并结直肠吻合术。11例患者（4%）进行了回肠后结直肠吻合术。回肠后吻合术是进行广泛左侧结肠切除术和/或残留横结肠长度不足以进行无张力结直肠吻合术时的一种技术辅助手段。
