Burgard G, Marmorale A, Breullie G
Service de Chirurgie Digestive, Hôpital Nord, C.H.R.U. de Saint-Etienne.
J Chir (Paris). 1994 Dec;131(12):554-7.
The authors report two cases of colonic endoscopic perforation with peritonitis treated by minimal lateral colostomy. The evolution was favorable in this two cases with spontaneous closure of colostomy. We intended to remind the usefulness of this old and simple technique sometimes omitted in the therapeutic armentorium of the iatrogenic colic perforation, especially from endoscopic origin. Thus the risk of complications of an ideal surgery or the necessity of a second-time anastomosis after the initial colostomy can be avoided.
作者报告了两例经最小限度外侧结肠造口术治疗的伴有腹膜炎的结肠内镜穿孔病例。这两例病情进展良好,结肠造口自发闭合。我们旨在提醒人们注意这种古老而简单的技术的实用性,在医源性结肠穿孔(尤其是内镜源性穿孔)的治疗手段中,这种技术有时会被忽略。这样可以避免理想手术的并发症风险或初次结肠造口术后二次吻合的必要性。