作为肠道移植一部分的移植结肠经直肠拖出术
Endorectal pull-through of transplanted colon as part of intestinal transplantation.
作者信息
Tzakis A G, Nour B, Reyes J, Abu-Elmagd K, Furukawa H, Todo S, Starzl T E
机构信息
Transplantation Institute, University of Pittsburgh Medical Center.
出版信息
Surgery. 1995 Apr;117(4):451-3. doi: 10.1016/s0039-6060(05)80066-2.
BACKGROUND
Two children with life-threatening disorders underwent intestinal transplantation; one multivisceral transplantation excluding the liver, and the second transplantation of the liver, small bowel, and colon.
METHODS
Involvement of the native rectum necessitated resection and replacement with the transplanted allograft. To prevent a permanent colostomy, a pull-through of the allograft colon was performed.
RESULTS
Both patients had a stormy early postoperative course, mainly because of the complexities of intestinal transplantation, but with eventual recovery, including improvement of rectal function.
CONCLUSIONS
These are the first two known cases in which a transplanted large intestine was used for a pull-through procedure.
背景
两名患有危及生命疾病的儿童接受了肠道移植；一名接受了不包括肝脏的多脏器移植，另一名接受了肝脏、小肠和结肠移植。
方法
由于原直肠受累，需要进行切除并用移植的同种异体移植物进行替代。为防止永久性结肠造口术，对同种异体移植结肠进行了拖出术。
结果
两名患者术后早期过程都很波折，主要是因为肠道移植的复杂性，但最终都康复了，包括直肠功能的改善。
结论
这是已知的首例使用移植大肠进行拖出术的两个病例。
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