Winkler M J, Volpe P A
Dis Colon Rectum. 1982 May-Jun;25(4):321-6. doi: 10.1007/BF02553605.
All large-bowel stomas (198) performed between 1970 and 1980 in a community hospital were reviewed. Twenty-nine stomas were loop transverse colostomies. There were five deaths, a complication rate related to the stoma of 28 per cent, and only 18 patients ever achieved colostomy closure. Our conclusions are as follows: (1) transverse colostomy is a holdover from the past; (2) "temporary" loop colostomy is a misnomer; (3) all colostomies should be end-bearing and matured primarily; (4) blind surgery invites tragedy; (5) loop transverse colostomy is a risky first stage with little benefit; (6) every colostomy should be placed as near as possible to the disease process; and (7) resection of the disease is the ideal first stage.
对一家社区医院在1970年至1980年间实施的所有198例大肠造口术进行了回顾。29例造口为袢式横结肠造口术。有5例死亡，造口相关并发症发生率为28%，仅有18例患者成功关闭了结肠造口。我们的结论如下：（1）横结肠造口术是过去的遗留做法；（2）“临时性”袢式结肠造口术名不副实；（3）所有结肠造口术都应是端式造口并一期成熟；（4）盲目手术会招致悲剧；（5）袢式横结肠造口术作为第一阶段手术风险大且益处小；（6）每个结肠造口都应尽可能靠近病变部位；（7）切除病变是理想的第一阶段手术。
