[确定性末端结肠造口术的技术细节]

[The technical details of the definitive terminal colostomy].

作者信息

Rădulescu D, Pătraşcu T, Cîmpeanu I

出版信息

Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1989 Sep-Oct;38(5):365-70.

Abstract

Although many surgeons still perform the definitive terminal colostomy using the initial technique--pararectal incision, transperitoneal tract, secondarily retouched excess--this procedure complicates uselessly the surgical technique leading frequently to complications. These drawbacks might be avoided by using transrectal extraperitoneal extemporaneously matured colostomy that simplifies the surgical technique and prevents both precocious complications (peritonitis, occlusions, parietal abscess, necessity of a second "retouch" surgery) and also tardy complications (stomal prolapse, parastomal eventration).

摘要

尽管许多外科医生仍采用最初的技术——直肠旁切口、经腹膜路径、二次修整多余部分——来进行确定性终末结肠造口术，但这种手术无端地使手术技术复杂化，常常导致并发症。通过使用经直肠腹膜外即时成熟造口术可以避免这些缺点，该方法简化了手术技术，预防了早期并发症（腹膜炎、肠梗阻、腹壁脓肿、二次“修整”手术的必要性）以及晚期并发症（造口脱垂、造口旁疝）。