Panebianco V, Poli A, Blandino R, Pistritto A, Puzzo L, Grasso A, Petino A G
Cattedra di Patologia Speciale Chirurgica C.O., Università degli Studi di Catania.
Minerva Chir. 1994 Mar;49(3):215-7.
A case of sigmoid-rectal endometriosis prompted the authors to focus attention on the question of indications for surgery and operative tactics in intestinal endometriosis. In this case, the presence of a pelvic mass which could not be cut away from the intestinal wall without the risk of perforation led to the performance of a low anterior resection of the rectum with mechanical stapler, a choice which was certainly radical but necessary in view of the impossibility of excluding the malignant nature of the mass either macroscopically or extemporaneously.
一例乙状结肠-直肠子宫内膜异位症促使作者关注肠道子宫内膜异位症的手术指征和手术策略问题。在该病例中,盆腔肿物与肠壁粘连紧密,若强行分离有穿孔风险,遂行直肠低位前切除术,采用机械吻合器,此选择虽激进,但鉴于术中无法通过肉眼或快速病理排除肿物恶性可能,实属必要。