Florida Hospital, Orlando, FL, USA,
Tech Coloproctol. 2013 Feb;17(1):111-6. doi: 10.1007/s10151-012-0875-9. Epub 2012 Aug 31.
For those patients undergoing laparoscopic colorectal surgery who have had prior abdominoplasty, cosmetic outcome is important and the technical considerations for laparoscopy in post-abdominoplasty patients have not been previously addressed. The aim of the present study was to define the technical approach to the post-abdominoplasty patient undergoing laparoscopic colorectal surgery after abdominoplasty.
Utilizing the technical approach described, eleven patients underwent laparoscopy after prior abdominoplasty over a 7-year period.
The majority of patients (10/11) felt their laparoscopic colorectal resection had no adverse effect on the aesthetics of their prior abdominoplasty. From a surgeon's standpoint, the only significant challenge was due to the loss of abdominal wall compliance.
The surgical approach to laparoscopic colectomy in the post-abdominoplasty patient requires careful planning. Cosmetic outcome is a particularly important consideration for this subset of patients, and this should be appreciated by the operating surgeon.
对于那些接受过腹腔镜结直肠手术的既往腹部整形术患者，美容效果很重要，并且腹腔镜在腹部整形术后患者中的技术考虑因素尚未得到解决。本研究的目的是定义既往腹部整形术后接受腹腔镜结直肠手术患者的技术方法。
在过去 7 年中，有 11 例既往腹部整形术患者使用所描述的技术方法接受了腹腔镜手术。
大多数患者（10/11）认为他们的腹腔镜结直肠切除术对先前腹部整形术的美学效果没有不良影响。从外科医生的角度来看，唯一的重大挑战是由于腹壁顺应性丧失所致。
对于既往腹部整形术患者，腹腔镜结肠切除术的手术方法需要仔细规划。对于这部分患者，美容效果是一个特别重要的考虑因素，手术医生应该理解这一点。
