Hollyoak M A, Lumley J, Stitz R W
Colorectal Unit, Royal Brisbane Hospital, Queensland, Australia.
Br J Surg. 1998 Feb;85(2):226-8. doi: 10.1046/j.1365-2168.1998.00516.x.
Laparoscopic creation of an intestinal stoma may be preferable to open operation when intervention is required solely for faecal diversion.
Experience with laparoscopic intestinal stoma formation for faecal diversion from a single institution is presented.
A total of 55 stomas were studied, 40 laparoscopic and 15 open. The conversion rate from laparoscopic to open operation was 5 per cent. Mean(s.e.m.) operating time was significantly reduced for laparoscopic stomas (54(4.7) versus 72(8.7) min). Time to return of bowel function was significantly reduced (1.6(0.3) versus 2.2(0.2) days). Mean(s.e.m.) hospital stay was significantly reduced in the laparoscopic group (7.4(0.5) versus 12.6(2.5) days).
Morbidity and mortality appeared to be reduced in patients undergoing laparoscopic stoma formation. The technique was found to be safe, suitable for the majority of patients and to give results superior to those of open surgery.
当仅需进行粪便转流干预时，腹腔镜造口术可能比开放手术更可取。
介绍了单一机构进行腹腔镜粪便转流性肠造口术的经验。
共研究了55个造口，40个为腹腔镜造口，15个为开放造口。腹腔镜手术中转开腹手术的比例为5%。腹腔镜造口术的平均（标准误）手术时间显著缩短（54（4.7）分钟对72（8.7）分钟）。肠道功能恢复时间显著缩短（1.6（0.3）天对2.2（0.2）天）。腹腔镜组的平均（标准误）住院时间显著缩短（7.4（0.5）天对12.6（2.5）天）。
接受腹腔镜造口术的患者的发病率和死亡率似乎有所降低。该技术被发现是安全的，适用于大多数患者，且效果优于开放手术。
