Kozol R A, Kosir M A
Surgical Service, VA Medical Center, and Wayne State University School of Medicine, Detroit, MI, USA.
J Gastrointest Surg. 1998 Sep-Oct;2(5):426-9. doi: 10.1016/s1091-255x(98)80032-2.
Although uncommon, anastomotic stricture after low anterior resection may require additional repair beyond dilatation. Two alternate approaches are described wherein laparoscopic and endoscopic techniques were utilized to avoid repeat pelvic surgery in two cases. These can be used whether a stapled or hand-sewn approach was used for the initial anastomosis. Photo documentation demonstrates a widely patent anastomosis after repair. There is early return of bowel function by these methods, and long-term results (3 years) are excellent.
尽管罕见，但低位前切除术后的吻合口狭窄可能需要在扩张之外进行额外修复。本文描述了两种替代方法，其中在两例病例中利用腹腔镜和内镜技术避免再次进行盆腔手术。无论最初的吻合是采用吻合器还是手工缝合方法，这些方法均可使用。照片记录显示修复后吻合口广泛通畅。通过这些方法肠道功能可早期恢复，长期结果（3年）良好。
