Rosen H R, Schiessel R
Chirurgische Abteilung, SMZ-Ost/Donauspital, Wien.
Chirurg. 1999 Jun;70(6):650-5. doi: 10.1007/s001040050701.
Intestinal stomas are widely used in the treatment of colorectal disease since they are relatively easy to construct and are supposed to increase the safety of colorectal surgery. During the past 50 years there have been several improvements in operative technique and stoma management but despite these advances there remains appreciable morbidity associated with the construction of stomas. Increasing awareness of the morbidity associated with enteral stomas has led to greater questioning of the need for temporary stomas. This paper reviews the indications and surgical technique as well as the morbidity associated with loop colostomy and ileostomy.
肠造口术在结直肠疾病的治疗中被广泛应用,因为其相对易于构建,且被认为能提高结直肠手术的安全性。在过去50年里,手术技术和造口管理有了多项改进,但尽管有这些进展,造口构建仍存在相当程度的发病率。对肠造口相关发病率的认识不断提高,引发了对临时造口必要性的更多质疑。本文综述了袢式结肠造口术和回肠造口术的适应证、手术技术以及相关发病率。