Gu J, Yang Yong
Department of Gastrointestinal Surgery III, Peking University Cancer Hospital & Institute, Beijing 100142, China Department of Gastrointestinal Surgery, Peking University Shougang Hospital, Beijing 100144, China Center for Precision Diagnosis and Treatment of Colorectal Cancer and Inflammatory Diseases, Peking University Health Science Center, Beijing 100191, China Colorectal Cancer Centre of Peking University Shougang Hospital, Beijing 100144, China.
Department of Gastrointestinal Surgery, Peking University Shougang Hospital, Beijing 100144, China Center for Precision Diagnosis and Treatment of Colorectal Cancer and Inflammatory Diseases, Peking University Health Science Center, Beijing 100191, China Colorectal Cancer Centre of Peking University Shougang Hospital, Beijing 100144, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2022 Nov 25;25(11):955-960. doi: 10.3760/cma.j.cn441530-20220517-00219.
The related technology of enterostomy is a professional skill that colorectal surgeons need to master, and it is clinically important to prevent the occurrence of enterostomy-related complications of low rectal cancer. The early complications of enterostomy include stoma retraction, stoma ischemic necrosis, stoma edema and peripheral dermatitis, and the long-term complications include parastomal hernia, stenosis and stoma prolapse. In addition, the rare or easily neglected stoma cancer, difficulty of stoma closure and following social psychological disorders should also be paid attention to by surgeons. Effective reduction of enterostomy complications can lead to better quality of life for patients, which is the best interpretation of the concept of "patient-centered ness" by colorectal surgeons.
肠造口术相关技术是结直肠外科医生需要掌握的一项专业技能，预防低位直肠癌肠造口相关并发症的发生在临床上具有重要意义。肠造口术的早期并发症包括造口回缩、造口缺血性坏死、造口水肿及周围皮炎，长期并发症包括造口旁疝、狭窄及造口脱垂。此外，外科医生还应关注罕见或易被忽视的造口癌、造口关闭困难以及随之而来的社会心理障碍。有效减少肠造口术并发症可使患者生活质量提高，这是结直肠外科医生对“以患者为中心”理念的最佳诠释。
