Labas P, Jablonický S, Michalko L, Svec R, Huorka M
I. chirurgická klinika FN a LF UK, Bratislava.
Rozhl Chir. 1995 Mar;74(2):75-8.
Ulcerative colitis, being a typical medical disease, is encountered by the surgeon only in the stage of toxic megacolon or in case of sever complications during conservative treatment such as perforation, haemorrhage or obstruction. The authors operated six young women where they performed as the only choice total proctocolectomy with formation of an ileal reservoir which was sutured to the rectum stripped of the mucosa. Despite the serious condition at the time of operation, the patients survive the operation, although the percentage of postoperative complications is high, with the exception of one patient who died on the 126th day after operation. The remainder survive in a fair condition with complete and continence.
溃疡性结肠炎作为一种典型的医学疾病,外科医生仅在中毒性巨结肠阶段或在保守治疗期间出现严重并发症(如穿孔、出血或梗阻)时才会遇到。作者对六名年轻女性进行了手术,她们唯一的选择是进行全直肠结肠切除术,并形成一个回肠储袋,将其缝合到剥除黏膜的直肠上。尽管手术时病情严重,但患者均存活了下来,尽管术后并发症的发生率很高,但有一名患者在术后第126天死亡。其余患者存活,情况尚可,排便完全且能控制。