World J Gastroenterol. 2012 Apr 21;18(15):1703-7. doi: 10.3748/wjg.v18.i15.1703.
Restorative proctocolectomy (RP) is the treatment of choice in patients affected with refractory ulcerative colitis or familial adenomatous polyposis. Surgery in elective settings is often performed in 2 stages, fashioning an ileostomy which is closed 2-3-mo later. It is still debated whether omitting ileostomy could offer advantages in the management of patients undergoing RP.
修复性直肠结肠切除术(RP)是治疗难治性溃疡性结肠炎或家族性腺瘤性息肉病患者的首选方法。择期手术通常分两阶段进行,形成造口术,然后在 2-3 个月后关闭。目前仍在争论是否可以省略造口术,为接受 RP 的患者的管理带来优势。