Nylund G, Oresland T, Hultén L
Department of Surgery, Sahlgrenska University Hospital, Göteborg, Sweden.
Eur J Surg. 1997 Aug;163(8):627-9.
A trephine stoma may be an attractive alternative for those patients who require a stoma but not a laparotomy. Twenty-seven consecutive patients were candidates for formation of a trephine stoma. A loop ileostomy was successfully constructed in seven patients and an end sigmoid colostomy in 15, while conversion to a formal laparotomy was necessary in five patients mainly because the sigmoid colon was immobile or there were extensive adhesions. The absence of a major abdominal wound made the postoperative course simple with little pain, a quick recovery, and early discharge from hospital.
对于那些需要造口但不需要剖腹手术的患者，环钻造口术可能是一种有吸引力的替代方案。连续27例患者为环钻造口术的候选者。7例患者成功构建了回肠袢式造口术，15例构建了乙状结肠末端造口术，5例患者因乙状结肠固定不动或粘连广泛而需要转为正式剖腹手术。没有大的腹部伤口使术后过程简单，疼痛轻微，恢复快，且能早期出院。
