Klein F A, Herr H W, Sogani P C, Whitmore W F
Surg Gynecol Obstet. 1983 Jan;156(1):31-3.
Obesity in the abdominal area causes difficulty not only with the placement of an ileal conduit stoma and conduit length but also with surgical exposure during radical surgery to the pelvis. Such problems may be ameliorated by using a horizontal abdominal dermolipectomy in conjunction with a midline fascial and peritoneal incision and the Turnbull ileal stoma in selected obese patients. The advantages of this technique far outweigh the limited complications which may be encountered.
腹部肥胖不仅会给回肠造口的定位和造口管长度带来困难，还会给盆腔根治性手术的手术暴露带来困难。对于部分肥胖患者，采用腹部水平皮肤切除术联合中线筋膜及腹膜切口以及特恩布尔回肠造口术，这些问题可能会得到改善。该技术的优点远远超过可能遇到的有限并发症。
