Biondo S, Alcobendas F, Jorba R, Bettonica C, Moreno P, Borobia F G, Farrán L, Jaurrieta E
Servicio de Cirugía General y Digestiva, Ciutat Sanitaria i Universitaria de Bellvitge, Barcelona.
Rev Esp Enferm Dig. 1995 Dec;87(12):849-52.
We report our results with a left colonic resection and intraoperative antegrade colonic irrigation technique with primary anastomosis. Thirty five consecutive patients operated on in the Emergency Surgical Ward are presented. Twenty five with large bowel occlusion and 10 with sigma perforation. Anastomotic leakage (2 patients, 5.7%) and postoperative hospital stay (mean 15 days) were similar to cases of elective surgery. The intraoperative antegrade colonic irrigation technique has become the first choice in our Department to treat any patient with left colonic occlusion or perforation. Only patients with faecal peritonitis or ischemic colon were excluded.
我们报告了采用左半结肠切除术及术中顺行结肠灌洗技术并进行一期吻合术的结果。本文介绍了在急诊外科病房连续接受手术的35例患者。其中25例为大肠梗阻，10例为乙状结肠穿孔。吻合口漏（2例，5.7%）及术后住院时间（平均15天）与择期手术病例相似。术中顺行结肠灌洗技术已成为我们科室治疗任何左半结肠梗阻或穿孔患者的首选方法。仅排除有粪性腹膜炎或缺血性结肠的患者。
