Hashizume M, Haraguchi Y, Ikeda Y, Kajiyama K, Fujie T, Sugimachi K
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Surg Laparosc Endosc. 1994 Feb;4(1):70-2.
The surgical modality of laparoscopic cholecystectomy is now widely accepted, and other intra-abdominal operations are also being done laparoscopically. This paper presents a case of laparoscopy-assisted colostomy in which a complete obstruction of the sigmoid colon associated with intraperitoneal dissemination and massive ascites in the end-stages of ovarian cancer was encountered. This procedure was found to be less invasive and thus should be considered the treatment of choice for an obstruction of the gastrointestinal tract in patients with a poor general status.
腹腔镜胆囊切除术这一手术方式如今已被广泛接受,其他腹腔内手术也在通过腹腔镜进行。本文介绍了一例腹腔镜辅助结肠造口术的病例,该病例中遇到一名卵巢癌晚期患者,其乙状结肠完全梗阻并伴有腹膜内播散和大量腹水。发现该手术的侵入性较小,因此对于一般状况较差的患者,应将其视为胃肠道梗阻的首选治疗方法。