Terry B G, Beart R W
Dis Colon Rectum. 1981 Jan-Feb;24(1):1-4. doi: 10.1007/BF02603439.
From 1968 to 1979, 18 patients underwent emergency abdominal colectomy with ileorectal anastomosis. Indications for operation included massive colonic bleeding (11), obstructing carcinoma (5), toxic megacolon (1), and enterocolitis (1). Five patients died postoperatively (27.8 per cent). Causes of death included sepsis, upper gastrointestinal bleeding, and respiratory failure. All had peritonitis, and five had documented anastomotic leaks. Seven of the surviving patients had significant morbidity from the procedure which included anastomotic leak, small bowel obstruction, wound infection, sepsis, and pulmonary emboli. Only six patients survived without complications. Although others have written about the safety of emergency subtotal colectomy with ileorectal anastomosis, our experience suggests this procedure is associated with excessive morbidity and mortality.
1968年至1979年期间，18例患者接受了急诊腹部结肠切除术并进行回肠直肠吻合术。手术指征包括大量结肠出血（11例）、梗阻性癌（5例）、中毒性巨结肠（1例）和小肠结肠炎（1例）。5例患者术后死亡（27.8%）。死亡原因包括败血症、上消化道出血和呼吸衰竭。所有患者均有腹膜炎，5例有吻合口漏的记录。7例存活患者因该手术出现严重并发症，包括吻合口漏、小肠梗阻、伤口感染、败血症和肺栓塞。只有6例患者存活且无并发症。尽管其他人曾论述过急诊次全结肠切除术并回肠直肠吻合术的安全性，但我们的经验表明该手术伴随着过高的发病率和死亡率。
