Slauf P, Antos F, Kálal J, Malý P
Chirurgická klinika IPVZ, FN Na Bulovce, Praha.
Rozhl Chir. 1995 May;74(4):166-8.
One-stage subtotal colectomy is the most radical solution of ileous conditions caused by an obturating tumour of the left half of the colon. The authors report on their experience with this procedure in 10 patients operated in the course of three years. They emphasize the advantages such as oncological radicality, immediate detoxication of the organism, a favourable postoperative course with a low morbidity (10% dehiscences) and lethality (10%), shorter hospitalization period, life of the patients without a stoma, lower costs and satisfactory functional results. For an experienced surgeon, if perfect intensive postoperative care is available, this operation is the method of choice even in very old patients.
一期次全结肠切除术是治疗由左半结肠梗阻性肿瘤引起的回肠病变的最彻底解决方案。作者报告了他们在三年中对10例接受该手术患者的经验。他们强调了该手术的优点,如肿瘤根治性、机体立即解毒、术后病程良好,发病率低(10%的切口裂开)和死亡率低(10%)、住院时间短、患者无需造口生活、成本低以及功能结果令人满意。对于经验丰富的外科医生来说,如果能提供完善的术后重症护理,即使是非常年老的患者,这种手术也是首选方法。