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腹腔镜在肠造口中的应用

马冲 赵宪琪 姜涛 郭欣 朴大勋 朱安龙

腹腔镜外科杂志2011,Vol.16Issue(4):283-285,3.
腹腔镜外科杂志2011,Vol.16Issue(4):283-285,3.DOI:10.3969/j.issn.1009-6612.2011.04.017

腹腔镜在肠造口中的应用

Laparoscopic enterostomy

马冲 1赵宪琪 1姜涛 1郭欣 1朴大勋 1朱安龙1

作者信息

  • 1. 哈尔滨医科大学附属第一医院,黑龙江,哈尔滨,150001
  • 折叠

摘要

Abstract

Objective:To investigate the feasibility and safety of laparoscopic enterostomy. Methods:A total of 33 patients received laparoscopic enterostomy from Jul. 2008 to Jul. 2010. After the operatioas,8 patients received return of stoma. Results: Among the 33 patients, single lumen enterostomy was 26 cases, double lumen enterostomy was applied in 7 cases. Colon enterostomy was 29 cases, intestinal enterostomy was applied in 4 cases. The mean operation time was 60min (35-90rain). The mean operative blood loss was 10ml (5-20ml). The postoperative follow-up was 1-12 months. There was no stoma stenosis, retraction or other complications. 8 cases received laparoscopic return of stoma. The mean operative time was 50min(38-65min) and the mean operative blood loss was 30ml ( 15-55ml). Patients were followed up 1 to 6 months ,there was no complications such as anastomotic leakage,anastomotic stenosis, or intestinal obstruction. Conclusions:The laparoscopic extraperitoneal enterostomy is safe and feasible with advantages of less stoma comphcations, when the surgeons are skilled in both open colorectal cancer operation and laparoscopic surgery, and indications are strictly mastered.

关键词

结直肠肿瘤/肠造口术/腹腔镜检查

Key words

Colorectal neoplasms/ Enterostomy/ Laparoscopy

分类

医药卫生

引用本文复制引用

马冲,赵宪琪,姜涛,郭欣,朴大勋,朱安龙..腹腔镜在肠造口中的应用[J].腹腔镜外科杂志,2011,16(4):283-285,3.

腹腔镜外科杂志

OACSTPCD

1009-6612

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