Athanasiadis S, Girona J
Langenbecks Arch Chir. 1982;356(1):51-9. doi: 10.1007/BF01270602.
During the period 1974-1980 39 patients underwent operations at the Prosper Hospital in Recklinghausen for radiation injuries to the rectum or rectosigmoid. They comprised 22 patients with rectovaginal fistulas, 6 with ulcers, 3 suffering from severe hemorrhagic proctitis, 5 with rectal strictures, 1 with necrosis, and 2 with radiation ulcers and carcinoma. A sphincter-saving operative method of treating postirradiation damage of the rectum is presented. The technique involves the peranal anastomosis of healthy colon to the midanal canal using a sleeve anastomosis. Technical and functional results of resectional surgery for the rectal complications of radiation therapy are reported. Subjectively, total continence was present in 78%, only 1 patient was incontinent because of flatus and watery stools.
1974年至1980年期间，39例患者在雷克林豪森的普罗斯珀医院接受了直肠或直肠乙状结肠放射性损伤的手术。其中包括22例直肠阴道瘘患者、6例溃疡患者、3例严重出血性直肠炎患者、5例直肠狭窄患者、1例坏死患者以及2例放射性溃疡合并癌患者。本文介绍了一种保留括约肌的手术方法，用于治疗直肠放射性损伤。该技术包括使用袖状吻合术将健康结肠经肛门吻合至肛管中部。报告了放疗后直肠并发症切除手术的技术和功能结果。主观上，78%的患者实现了完全控便，只有1例患者因排气和稀便而失禁。
