结肠造口

第八十章 结肠造口

1.Bringing a colostomy out through a laparotomy incision is like putting a toilet in the kitchen.

—— Moshe Schein

【译文】经剖腹手术切口留一个结肠造口在外面就像在厨房放置了一个马桶一样。

【点评】没办法,活下来最重要。

2.Of all the diseases to which man is liable, there is no one so inconvenient and disgusting as the artificial anus.How wretched is the patient from whom,despite his will, the alimentary, bilious and fecal matter contained in his intestines are constantly escaping.

—— Guillaume Dupuytren, 1796——1856

【译文】在人类所有疾病中,没有哪种比人造肛门更不方便、更令人作呕的了。无论患者愿意与否,肠腔里的食物残渣、胆汁和粪便延绵不断地外溢,这是多么让他苦闷啊。

3.About colostomy: but I much question the propriety of such an operation …since if the patient survives he must become … loathsome to himself and to those around him.

—— B.W.Brown, ?——1853

【译文】(关于结肠造口):我非常怀疑这种手术的合理性……因为只要患者活着,他就必须面对……自己和周围人的厌恶。

4.About colostomy: but it is surely far better to part with one of the conveniences of life, than to part with life itself, beside, the excrements that are voided by this passage, are not altogether so offensive, as those that are voided per anum.

—— Lorenz Heister, 1683——1758

【译文】关于结肠造口:无论如何,舍弃生命中的某种便利远比舍弃生命本身好得多。此外,经造口所排出的粪便也并不像经肛门排出来的那样令人厌恶。

5.An artificial anus, it is true, is a grave infirmity, but is not insupportable.

—— Jean Zulema Amussat, 1796——1856

【译文】的确,人工肛门是一个很大的缺憾,但并非不可忍受。(https://www.daowen.com)

【点评】尽管今天的科学技术与200年前比较已经有了天翻地覆的变化,但依然会有相当部分的直肠癌患者不可避免地需面对永久性结肠造口,具体到每一位患者的肛门应该“保”还是“弃”只能个性化处理。

6.An artificial anus in the loin, well established is attended with little inconvenience or trouble in a healthy state of the alimentary canal.

—— Thomas Curling, 1811——1888

【译文】妥帖安置在中下腹壁上的人工肛门,在消化道健康状态下很少有不便或麻烦。

7.If you do a colostomy there will always be someone to tell you why not primary anastomosis; if you do a primary anastomosis there will always be someone to tell you why not colostomy.

—— Moshe Schein

【译文】如果你做了结肠造口,总会有人说为什么不做一期吻合;同样,你要是做了一期吻合,也总有人会说你为什么不做结肠造口。

8.If you think about a colostomy, you should do a colostomy.

—— Leo A.Gordon

【译文】如果你想做结肠造口时,你就应该做。

9.Failure of a colostomy closure is more due to the youth of the colostomy than the youth of the surgeon.

—— Ivor Lewis, 1895——1982

【译文】结肠造口关闭失败更多的是因为结肠造口太“嫩”,而不是手术医生太年轻。

10.There is no law that says that a colostomy must be closed.

—— Leo A.Gordon

【译文】没有规定说结肠造口必须关闭。