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优化造口关闭术:一种产生污染最小的腹腔镜技术。

Optimizing stoma closure: A laparoscopic technique yielding the least contamination.

机构信息

Colorectal Section, Department of Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

School of Medicine, Chang Gung University, Taoyuan, Taiwan.

出版信息

World J Surg. 2024 Jul;48(7):1767-1770. doi: 10.1002/wjs.12213. Epub 2024 May 22.

Abstract

In this study, we introduce a novel method for stoma closure, aiming to reduce wound infection rates. This method involves creating the common channel of both limbs of a loop stoma extracorporeally, which is particularly beneficial during laparoscopic stoma closure surgery by potentially avoiding contamination of the wound. We applied this technique in 23 patients undergoing laparoscopic stoma reversal surgery, comprising both loop colostomy and ileostomy cases. Notably, postoperative outcomes were promising: only two patients experienced postoperative ileus, and importantly, there were no instances of wound infection. These findings suggest that our laparoscopic stoma reversal surgery approach is not only safe and feasible but also offers a significant advantage in reducing wound infection rates.

摘要

在本研究中,我们介绍了一种新的造口关闭方法,旨在降低伤口感染率。该方法涉及在体外创建环型肠造口的两个肢的共同通道,这在腹腔镜肠造口关闭手术中特别有益,因为可以避免伤口污染。我们在 23 例接受腹腔镜肠造口反转手术的患者中应用了该技术,其中包括环型结肠造口和回肠造口。值得注意的是,术后结果令人鼓舞:只有两名患者发生术后肠梗阻,更重要的是,没有伤口感染的病例。这些发现表明,我们的腹腔镜肠造口反转手术方法不仅安全可行,而且在降低伤口感染率方面具有显著优势。

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