Hill A D, Menzies-Gow N, Darzi A
Department of Surgery, Central Middlesex Hospital, London, England.
J Am Coll Surg. 1994 Feb;178(2):183-4.
Rectal mobilization during abdominoperineal or low anterior resection involves careful dissection between the rectum and the sacrum. Inadvertent manipulation outside the avascular presacral space may damage presacral veins, causing troublesome and potentially life-threatening bleeding. We reviewed the current management of presacral bleeding, including the use of an endoscopic stapling device to control presacral bleeding.
在腹会阴联合切除术或低位前切除术期间进行直肠游离时，需要在直肠和骶骨之间进行仔细的解剖。在无血管的骶前间隙之外进行不经意的操作可能会损伤骶前静脉，导致棘手且可能危及生命的出血。我们回顾了当前骶前出血的处理方法，包括使用内镜吻合器控制骶前出血。
