PERINEAL COLOSTOMY AND ELECTROSTIMULATED GRACILIS NEOSPHINCTER AFTER ABDOMINOPERINEAL RESECTION OF THE COLON AND ANORECTUM - A SURGICAL EXPERIENCE AND FOLLOW-UP-STUDY IN 47 CASES

被引：59

作者：

CAVINA, E

SECCIA, M

EVANGELISTA, G

CHIARUGI, M

BUCCIANTI, P

TORTORA, A

CHIRICO, A

机构：

[1] Emergency Surgery, Department of Surgery, University of Pisa, Pisa

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1990年 / 5卷 / 01期

关键词：

D O I：

10.1007/BF00496141

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

A series of 47 patients undergoing abdominoperineal resection of the distal colon and anorectum and construction of a continent perineal colostomy using electrostimulated gracilis muscle is described. External and implanted pulse generators have both been used. An analysis of complications and oncological data are reported. There was no operative mortality. The incidence of complications, divided into three classes, mild (62%), moderate (27%) and severe (11%), has not significantly altered the functional results, with the exception of early ischaemia of the colonic stump in two cases. During the first 22 cases, no preoperative oncological staging was performed. In the last 23 patients endorectal ultrasonography and CT scanning were carried out. Functional results were evaluated by electromanometry, electromyostimulation and dynamic defaecography. Clinical data assessed postoperatively showed good function in 65% of cases, fair in 22.5% and poor in 12.5%. The quality of life in 15 patients with a perineal colostomy and electrostimulated gracilis was significantly better than in 15 patients having an abdomino-perineal resection without gracilis plastic reconstruction. © 1990 Springer-Verlag.

引用

页码：6 / 11

页数：6

共 13 条

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