Anderson C A, Fowler D L, White S, Wintz N
University of Missouri at Kansas City.
Surg Laparosc Endosc. 1993 Feb;3(1):69-72.
Perforated sigmoid diverticulitis often results in the patient undergoing a sigmoid resection, closure of the rectal stump, and an end sigmoid colostomy. To reestablish intestinal continuity, the patient must undergo a second major intra-abdominal operation. We have developed a technique of laparoscopic colostomy closure to reestablish intestinal continuity and have used it in two patients. Because of the reduced operative pain and shorter recovery period, this minimally invasive technique would be a better surgical alternative to colostomy closure.
穿孔性乙状结肠憩室炎通常会导致患者接受乙状结肠切除术、直肠残端闭合术和乙状结肠端式造口术。为重建肠道连续性，患者必须接受第二次大型腹腔内手术。我们已开发出一种腹腔镜造口闭合术来重建肠道连续性，并已将其应用于两名患者。由于手术疼痛减轻且恢复期缩短，这种微创技术将是造口闭合术更好的手术替代方案。
