Objective To investigate the therapeutic effect of protective transverse loop colostomy operation. 目的探讨经上腹正中切口制作横结肠袢式扭转造口的临床效果。
The operation of single stage resection and anastomosis was performed on 28 patients among whom 7 patients underwent the temporary transverse colostomy. 结果一期切除吻合28例,其中7例行横结肠造瘘;
Anastomotic leakage occurred in 1 case and healed after transverse colostomy. 吻合口漏1例,行横结肠造口后愈合;
A summary is made of the method of treatment for anastomotic leakage. Conservative treatment or conservative treatment plus temporal transverse colostomy is advocated. 本文总结了吻合口漏的治疗方法,提倡保守治疗,或加作暂时性横结肠造口术。
Fecal fistula occurred in 3 patients ( 3/ 31,9.6%). Of them, two developed a healing of the fistula one month after the surgery; the other was treated by a transverse colostomy two weeks after the procedure. 3例并发粪瘘(3/31,9.6%),其中2例于术后1个月痊愈,1例术后2周再次行横结肠袢式双腔造瘘术。
Simple neoplasty was done for 4 cases, mend and sigmoidostomy for 7 cases, and resection and intestinal anastomosis plus transverse colostomy for 4 cases. 4例行单纯修补术,7例行穿孔修补加乙状结肠造口术,4例行肠切除吻合加横结肠造口术。
Result There was 1 death of respiratory failure, 2 cases of anastomotic leakage. Curative regional drainage was given in 1 case and transverse colostomy was conducted for the rectovaginal fistula in 1 case. 结果117例超低位直肠癌保肛手术围手术期呼吸衰竭死亡1例,术后吻合口漏2例,1例局部引流治愈,1例直肠阴道瘘行横结肠造瘘转流手术。