Resnick S
Am J Surg. 1986 Nov;152(5):545-8. doi: 10.1016/0002-9610(86)90226-6.
A new method of stoma formation by using a new device has been described. The technical details of this procedure were first tested on 10 autopsy subjects before being applied in the clinical setting. After the autopsy trial was completed, the device was utilized for colostomy or ileostomy in 18 patients. The postoperative course was uncomplicated in all but one patient. Follow-up studies up to 2 years postoperatively revealed satisfactorally functioning stomas in all of the patients. The stoma was surrounded only by a thin, rather insignificant, scar. No cases of stenosis, prolapse, or parastomal hernia were found. Stoma formation with the device permits the creation of a precise abdominal wall aperture that corresponds to the size of the bowel and it prevents abdominal muscles from being cut. The preserved muscles can act like a sphincter around the stoma. Lastly, the procedure is simple, quick, and less traumatic than comparable procedures, and the healing conditions are optimal.
一种使用新装置进行造口形成的新方法已被描述。该手术的技术细节在应用于临床之前，首先在10名尸检对象上进行了测试。尸检试验完成后，该装置被用于18例患者的结肠造口术或回肠造口术。除1例患者外，所有患者术后过程均无并发症。术后长达2年的随访研究显示，所有患者的造口功能均令人满意。造口仅被一条薄的、相当不明显的瘢痕环绕。未发现狭窄、脱垂或造口旁疝病例。使用该装置进行造口形成可创建一个与肠管大小相对应的精确腹壁开口，并可防止切断腹部肌肉。保留的肌肉可像造口周围的括约肌一样发挥作用。最后，该手术简单、快速，与类似手术相比创伤较小，且愈合条件最佳。
