Department of Surgery, Teine Keijinkai Hospital, Sapporo, Japan.
Asian J Endosc Surg. 2021 Jan;14(1):106-108. doi: 10.1111/ases.12804. Epub 2020 Jun 3.
A 69-year-old woman was referred to our department with complaints of abdominal discomfort in the standing position. She had undergone robot-assisted radical cystectomy and ileal conduit urinary diversion for bladder cancer 10 months earlier. Abdominal CT revealed a parastomal hernia. Laparoscopic parastomal hernia repair using the Pauli technique was performed successfully with no recurrence after a 4-month follow-up. Although there are concerns about potential mesh-related complications and long-term results, this novel approach can be a successful option for parastomal hernia repair. As far as we know, this is the first English-language report on the application of Pauli parastomal hernia repair combined with a pure laparoscopic approach.
一位 69 岁女性因站立时腹部不适就诊于我科。她 10 个月前行机器人辅助根治性膀胱切除术和回肠导管尿流改道术治疗膀胱癌。腹部 CT 显示为造口旁疝。采用 Pauli 技术行腹腔镜造口旁疝修补术，随访 4 个月无复发，治疗成功。虽然存在潜在的补片相关并发症和长期结果的担忧，但这种新方法可能是造口旁疝修补的成功选择。据我们所知，这是首次应用 Pauli 造口旁疝修补术结合纯腹腔镜技术的英文报告。
