Subtotal colectomy with antiperistaltic cecorectal anastomosis.
Subtotal colectomy with antiperistaltic cecorectal anastomosis.
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DOI：
10.1007/s101510200004
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发表时间：
2002-04-01
影响因子：
3.3
通讯作者：
Roncoroni, L
中科院分区：
文献类型：
--
作者：
Sarli, L;Iusco, D;Roncoroni, L
我们评估了结肠次全切除术后采用逆蠕动端对端盲肠直肠吻合术（CRA）的功能结果。对34例结肠癌、炎症性肠病和慢性便秘患者行结肠次全切除盲肠直肠吻合术。术后死亡率为零，无严重的术后并发症。在平均60个月的随访（范围，12-92），32例患者存活，没有腹泻或失禁，完全缓解了以前的症状和腹部不适，并有正常的饮食。总之，结肠次全切除术联合端对端抗蠕动CRA似乎在治疗炎症性肠病、结肠肿瘤和慢传输性便秘的特定病例中发挥作用。
We assessed the functional results achieved with an antiperistaltic end-to-end cecorectal anastomosis (CRA) after subtotal colectomy. A total of 34 patients with colonic cancer, inflammatory bowel disease or chronic constipation were treated with subtotal colectomy and cecorectal anastomosis. The postoperative mortality was nil; no major postoperative complication was registered. At a mean 60-month follow-up (range, 12-92), 32 patients were alive, showed no diarrhea nor incontinence, were completely relieved from previous symptoms and abdominal discomfort, and had a normal diet. In conclusion, subtotal colectomy with end-to-end antiperistaltic CRA seems to have a role in selected cases for the treatment of inflammatory bowel diseases, colon tumors and slow-transit constipation.