de Graaf J S, van Goor H, Bleichrodt R P
Department of Surgery, University Hospital, Groningen, The Netherlands.
Eur J Surg. 1996 Jan;162(1):55-8.
To find out if primary small bowel anastomosis of the bowel is safe in patients with generalised peritonitis who are treated by planned relaparotomies.
Retrospective study.
University hospital, The Netherlands.
10 Patients with generalised purulent peritonitis caused by perforation of the bowel.
Resection or wedge resection of the bowel and primary intestinal anastomosis followed by planned relaparotomies every 24-48 hours.
Mortality and morbidity with special reference to anastomotic leaks.
Two patients died. Four of 20 wedge excisions in one patient leaked. All 19 end-to-end anastomoses in 10 patients healed without complications. Two patients developed small bowel fistulas which were not related to the anastomoses.
Primary end-to-end anastomosis of the small bowel followed by planned relaparotomies seems a safe alternative to the creation of an enterostomy in patients with generalised purulent peritonitis and perforation of the bowel.
探讨在接受计划性再次剖腹手术治疗的弥漫性腹膜炎患者中，小肠一期吻合术是否安全。
回顾性研究。
荷兰的大学医院。
10例因肠穿孔导致弥漫性化脓性腹膜炎的患者。
行肠切除或楔形切除术及小肠一期吻合术，随后每24 - 48小时进行计划性再次剖腹手术。
死亡率和发病率，特别关注吻合口漏。
2例患者死亡。1例患者的20处楔形切除中有4处发生渗漏。10例患者的19处端端吻合均愈合且无并发症。2例患者出现小肠瘘，但与吻合口无关。
对于弥漫性化脓性腹膜炎和肠穿孔患者，小肠一期端端吻合术并计划性再次剖腹手术似乎是一种安全的替代肠造口术的方法。
