Olthuis G, Nijhuis H H
Acta Chir Belg. 1977 May-Jun;76(3):253-7.
The authors present a series of 50 patients for which a laparotomy was performed following a lesion of the intestines due to radiotherapy. Resection and anastomosis is indicated only in localized lesions in patients with a good general state. In more extensive bowel lesions it is safer to perform by-pass procedures as the morbidity and postoperative mortality are lower. However, by-pass is inadequate to stop profuse haemorrhages: in such cases resection is mandatory.
作者报告了一组50例因放疗导致肠道损伤后行剖腹手术的患者。仅在全身状况良好的患者出现局限性病变时才考虑进行切除和吻合术。对于更广泛的肠道病变,进行旁路手术更安全,因为其发病率和术后死亡率较低。然而,旁路手术不足以制止大量出血:在这种情况下,必须进行切除术。