Duh Q Y, Way L W
Department of Surgery, University of California, San Francisco.
Dis Colon Rectum. 1993 Jan;36(1):65-70. doi: 10.1007/BF02050304.
Marked cecal dilatation due to colonic psuedo-obstruction (Ogilvie's syndrome) is most often treated by colonoscopic decompression. When this fails, cecostomy is usually indicated if the bowel is not infarcted. We describe a new technique of laparoscopy-guided percutaneous cecostomy using T-fasteners to retract and anchor the cecum to the anterior abdominal wall and using a Foley catheter as a cecostomy tube. We performed this procedure successfully in a patient with colonic pseudo-obstruction who had marked cecal dilatation that could not be decompressed by colonoscopy. Laparoscopic inspection showed that the cecum was viable, and a laparoscopic cecostomy was placed. This procedure can be performed easily and safely and with much less morbidity than laparotomy and open cecostomy.
结肠假性梗阻（奥吉尔维综合征）导致的显著盲肠扩张通常采用结肠镜减压治疗。若减压失败，且肠管未发生梗死，通常需行盲肠造口术。我们描述了一种腹腔镜引导下经皮盲肠造口的新技术，使用T形钉将盲肠牵拉并固定于前腹壁，并用Foley导管作为盲肠造口管。我们成功地为一名患有结肠假性梗阻且盲肠显著扩张、无法通过结肠镜减压的患者实施了该手术。腹腔镜检查显示盲肠存活，遂行腹腔镜盲肠造口术。该手术操作简便、安全，与剖腹术和开放性盲肠造口术相比，发病率要低得多。
