Hollender L F, Meyer C, Calderoli da Silva e Costa H, Alexiou D
Wien Med Wochenschr. 1980 Jan 30;130(2):53-5.
Colon resection with immediate ileo-colonic or colo-colonic anastomosis without temporary praeternatural anus was carried out in 42 patients with serious complications of malignant and benign diseases of the colon. In 33% a leakage of the anastomosis occurred with a lethality of 16.6%. With regard to this high rate of complications and high lethality the authors hold that the so-called "ideal" colectomy has to be discarded with exception of very seldom cases and the two-stage operation has to be preferred absolutely.
对42例患有结肠良恶性疾病严重并发症的患者实施了结肠切除并立即进行回肠-结肠或结肠-结肠吻合术,且未设置临时人工肛门。其中33%的患者发生吻合口漏,致死率为16.6%。鉴于如此高的并发症发生率和致死率,作者认为除极少数情况外,所谓的“理想”结肠切除术必须摒弃,而绝对应首选两阶段手术。