Martin L W, LeCoultre C, Schubert W K
Ann Surg. 1977 Oct;186(4):477-80. doi: 10.1097/00000658-197710000-00009.
Since ulcerative colitis is a mucosal disease, it would appear possible to remove the diseased rectal mucosa and preserve all anorectal musculature. When performed in conjunction with total colectomy, the terminal ileum could then be placed inside the retained muscular wall of the rectum and anastomosed to the anus. This would remove all of the disease and yet preserve anorectal continence. Seventeen patients with chronic ulcerative colitis have undergone this operation with satisfactory results in 15 and no deaths. Many details of preoperative, operative and postoperative management are presented which are imperative for a successful result. Sufficient experience has been gained that the operation can now be recommended.
由于溃疡性结肠炎是一种黏膜疾病，似乎有可能切除患病的直肠黏膜并保留所有肛门直肠肌肉组织。当与全结肠切除术同时进行时，可将回肠末端置于保留的直肠肌壁内并与肛门吻合。这样既能切除所有病变组织，又能保留肛门直肠的控便能力。17例慢性溃疡性结肠炎患者接受了该手术，15例效果满意，无死亡病例。文中介绍了术前、术中和术后管理的许多细节，这些对于取得成功的结果至关重要。现已积累了足够的经验，可以推荐开展该手术。
