Hellinger Michael D, Al Haddad Abdullah
Department of Surgery, Mount Sinai Medical Center, Miami Beach, FL 33140, USA.
Clin Colon Rectal Surg. 2008 Feb;21(1):53-61. doi: 10.1055/s-2008-1055322.
Traditionally, stoma creation and end stoma reversal have been performed via a laparotomy incision. However, in many situations, stoma construction may be safely performed in a minimally invasive nature. This may include a trephine, laparoscopic, or combined approach. Furthermore, Hartmann's colostomy reversal, a procedure traditionally associated with substantial morbidity, may also be performed laparoscopically. The authors briefly review patient selection, preparation, and indications, and focus primarily on surgical techniques and results of minimally invasive stoma creation and Hartmann's reversal.
传统上，造口术的创建和末端造口回纳术都是通过剖腹手术切口进行的。然而，在许多情况下，造口术可以在微创条件下安全地进行。这可能包括环钻法、腹腔镜法或联合法。此外，传统上与高发病率相关的哈特曼结肠造口回纳术也可以通过腹腔镜进行。作者简要回顾了患者的选择、准备和适应症，并主要关注微创造口术创建和哈特曼回纳术的手术技术及结果。
