Champault G
J Chir (Paris). 1976 May-Jun;111(5-6):603-11.
The author presents a case of duodeno-colic fistula revealing carcinoma of the right hepatic flexure showing the difficulty of surgery. A right hemi-colectomy enlarged to the duodenum and pancreas is the ideal operation from a curative point of view, but rarely possible owing to the age of the patient and the constitutional background. The risk of breakdown of duodenal sutures, which is sometimes technically difficult after colonic removal, is far from negligible. The results of by-pass operations, with or without exclusion of the fistula, are poor and uncertain.
作者报告了一例十二指肠结肠瘘合并右肝曲癌的病例，显示了手术的难度。从根治的角度来看，扩大至十二指肠和胰腺的右半结肠切除术是理想的手术方式，但由于患者年龄和身体状况，这种手术很少可行。十二指肠缝线破裂的风险在结肠切除术后有时在技术上很难处理，且绝不能忽视。无论是否排除瘘管，旁路手术的效果都很差且不确定。
