[一项关于结直肠癌患者腹腔镜造口术的研究]
[A Study of Laparoscopic Stoma Creation for Patients with Colorectal Cancer].
作者信息
Shiratori Fumiaki, Tonooka Toru, Takiguchi Nobuhiro, Ikeda Atsushi, Soda Hiroaki, Hoshino Isamu, Gunji Hisashi, Tabe Shunsuke, Nabeya Yoshihiro
机构信息
Dept. of Gastroenterological Surgery, Chiba Cancer Center.
出版信息
Gan To Kagaku Ryoho. 2021 Mar;48(3):391-393.
UNLABELLED
There are few reports on laparoscopic stoma creation; we report here our experience with laparoscopic stoma creation.
PATIENTS AND METHODS
Seven patients who underwent laparoscopic stoma creation between April 2019 and December 2019 were studied and their clinical outcome was evaluated retrospectively. Operation approach: We performed a colostomy in the transverse colon. At first, we insert a 12 mm first port into the site of stoma marking. And more, we insert three 5 mm ports on the opposite side of the first port. We remove the adhesions of the intestinal tract and create a colostomy.
RESULT
We changed open method 2 cases out of 7 cases due to extensive adhesion. In laparoscopically, we had an operation time of 97 (42-130) minutes and a blood loss of 5(2-40) mL. We had no postoperative complications or stoma problems.
CONCLUSION
Laparoscopic stoma creation was useful due to few postoperative complications and can be rapidly transferred to chemotherapy.
未标注
关于腹腔镜造口术的报道较少；我们在此报告我们进行腹腔镜造口术的经验。
患者与方法
对2019年4月至2019年12月期间接受腹腔镜造口术的7例患者进行研究，并对其临床结果进行回顾性评估。手术方法：我们在横结肠进行结肠造口术。首先，在造口标记处插入一个12毫米的第一穿刺孔。此外，在第一穿刺孔的对侧插入三个5毫米的穿刺孔。我们分离肠道粘连并进行结肠造口术。
结果
7例中有2例因粘连广泛而改为开放手术。在腹腔镜手术中，我们的手术时间为97（42 - 130）分钟，失血量为5（2 - 40）毫升。我们没有术后并发症或造口问题。
结论
腹腔镜造口术因术后并发症少而有用，并且可以迅速转入化疗。
Zotero 插件