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采用筋膜上桥接装置行袢式结肠造口术。

Loop colostomy with a suprafascial bridge device.

机构信息

Surgery Unit A, Oporto Medical School, Oporto, Portugal.

出版信息

Dig Surg. 2009;26(4):282-4. doi: 10.1159/000227788. Epub 2009 Jul 8.

DOI:10.1159/000227788
PMID:19590207
Abstract

INTRODUCTION

The aim of this technique is to achieve a quick, efficient and easy-to-perform as well as to reverse surgical procedure for patients requiring temporary deviation of stool transit, which can be carried out even by surgeons with little experience.

METHODS

We describe our technique for loop colostomy over a subcutaneous plastic rod device placed not on the skin but on the superficial abdominal aponeurosis.

RESULTS

Nineteen loop colostomies were performed using this technique, with no complications of either stoma formation or its subsequent function. The patient population consisted of 10 men and 9 women (average age 64 years). Patients were all followed up for 24 months or until death. Six deaths occurred in patients operated for palliative purposes.

CONCLUSIONS

This technique is not only very useful for patients in poor health who have undergone surgery due to intestinal blockage and need a quick surgical procedure to deal with an acute bowel disorder, but also in palliative situations.

摘要

简介

本技术旨在为需要暂时改变粪便转运的患者提供一种快速、高效、易于操作且易于逆转的手术方法,即使是经验较少的外科医生也可以进行。

方法

我们描述了一种在皮下塑料棒装置上进行环型结肠造口术的技术,该装置不是放在皮肤上,而是放在腹壁浅筋膜上。

结果

19 例环型结肠造口术采用该技术进行,造口形成及其后续功能均无并发症。患者人群包括 10 名男性和 9 名女性(平均年龄 64 岁)。所有患者均随访 24 个月或直至死亡。6 例因姑息性手术而死亡的患者。

结论

该技术不仅对因肠梗阻而接受手术且需要快速手术来处理急性肠道疾病的身体状况不佳的患者非常有用,而且对姑息性情况也非常有用。

相似文献

1
Loop colostomy with a suprafascial bridge device.采用筋膜上桥接装置行袢式结肠造口术。
Dig Surg. 2009;26(4):282-4. doi: 10.1159/000227788. Epub 2009 Jul 8.
2
[Temporary colostomies after sigmoid colon and rectum interventions--are they still justified?].[乙状结肠和直肠干预术后的临时结肠造口术——它们仍然合理吗?]
Langenbecks Arch Chir. 1997;382(3):149-56.
3
[Role of protective colostomy in colorectal surgery. Apropos of 68 cases].[保护性结肠造口术在结直肠手术中的作用。基于68例病例]
J Chir (Paris). 1987 Feb;124(2):93-8.
4
[Our technic for continent perineal colostomies after the abdominal-perineal amputation of the rectum].[直肠经腹会阴切除术后可控性会阴结肠造口术的技术]
Minerva Chir. 1994 Jan-Feb;49(1-2):27-37.
5
Complications / problems of colostomy in infants and children.
J Coll Physicians Surg Pak. 2006 Aug;16(8):509-13.
6
Colostomy for large bowel anomalies in children: a case controlled study.儿童大肠畸形的结肠造口术:一项病例对照研究。
Int J Surg. 2007 Aug;5(4):273-7. doi: 10.1016/j.ijsu.2007.01.008. Epub 2007 Feb 3.
7
[Experiences with a subcutaneous, fully resorbable bridge in construction a double loop ileo- and colostomy].[使用皮下完全可吸收桥构建双袢回肠造口术和结肠造口术的经验]
Chirurg. 1990 Jan;61(1):36-8.
8
[Typology of defunctioning colostomy and state of art in the treatment of bowel emergencies].[去功能化结肠造口术的类型及肠道急症治疗的现状]
Ann Ital Chir. 2005 Mar-Apr;76(2):157-60.
9
[Discontinuity resection of the colon. Indications and results].
Chirurg. 1990 Jan;61(1):49-52.
10
Laparoscopic restoration of intestinal continuity after Hartmann's procedure.哈特曼手术后腹腔镜下恢复肠道连续性
Am J Surg. 2005 Jun;189(6):670-4. doi: 10.1016/j.amjsurg.2005.03.007.

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1
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J Adv Vet Anim Res. 2020 Nov 8;7(4):685-691. doi: 10.5455/javar.2020.g468. eCollection 2020 Dec.
2
Whether stoma support rods have application value in loop enterostomy: a systematic review and meta-analysis.造口支撑棒在袢式肠造口术中是否有应用价值:系统评价和荟萃分析。
World J Surg Oncol. 2020 Oct 22;18(1):269. doi: 10.1186/s12957-020-02029-w.
3
Outcomes of support rod usage in loop stoma formation.
环形造口形成中支撑杆使用的结果
Int J Colorectal Dis. 2016 Jun;31(6):1189-95. doi: 10.1007/s00384-016-2569-7. Epub 2016 Mar 29.
4
Loop stomas with a subcutaneously placed bridge device.使用皮下桥接装置进行肠造口环。
Tech Coloproctol. 2010 Nov;14 Suppl 1:S75-6. doi: 10.1007/s10151-010-0627-7.