Briusov P G, Inoiatov I M, Perekhodov S N
Khirurgiia (Mosk). 1996(2):45-8.
The results of surgery in 11 patients with rectal cancer are analysed. The anterior rectal resection was performed in all cases, in 38 cases-the lower resection was performed. The use of decompressive colostomy as a method to prevent complications, caused by anastomotic incompetence is recommended. The colostomy was used in 51.3% cases. Besides colostomy, in 27 (26.2%) patients the antiseptic connection elements impregnated with kanamycin, dioxidine and cephamezine were used to prevent sigmoido-rectal anastomotic incompetence. The rate of anastomotic incompetence was 12.6% (14 patients). There were no mortality. The use of decompressive colostomy in operations on transverse colon especially in cases of lower rectal resection and in patients with partial colon ileus is advocated. The use of antiseptic connective elements is an efficient method to prevent anastomotic incompetence.
对11例直肠癌患者的手术结果进行了分析。所有病例均行直肠前切除术，其中38例行低位切除术。建议采用减压结肠造口术预防吻合口功能不全引起的并发症。结肠造口术用于51.3%的病例。除结肠造口术外，27例（26.2%）患者使用了浸渍卡那霉素、二氧嗪和头孢米嗪的抗菌连接元件来预防乙状结肠直肠吻合口功能不全。吻合口功能不全发生率为12.6%（14例患者）。无死亡病例。提倡在横结肠手术中，尤其是低位直肠切除病例和部分结肠梗阻患者中使用减压结肠造口术。使用抗菌连接元件是预防吻合口功能不全的有效方法。
