中国实用外科杂志2012，Vol.32Issue(12)：1040-1042,3.
保护性肠造口自闭可行性研究
Spontaneously closed protective stoma : a preliminary report of exploratory study
徐加鹤 1周喜乐 1王金海 1华汉巨 1林才照 1刘凡隆 1李炎冬 1陈文斌1
作者信息
- 1. 浙江大学医学院附属第一医院肛肠外科,浙江杭州310003
- 折叠
摘要
Abstract
Objective To explore the possibility of creating a protective stoma that may close spontaneously. Methods From March 2009 to February 2012, 128 cases of terminal ileum tube stoma and distal stapling with single row of staples for patients with at risk anastomosis, mainly for protection of low anterior resection for rectal cancer were performed in Department of Colorectal Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine. Results The success rate of reopen of the stapled intestinal was 100 percent. The mean time for anus to restore defecation, the period of protection of the anastomosis, was 29.3 (12-75) days. The success rate of spontaneous closure of the stoma after removal of the tube was also 100 percent. The mean time of spontaneous closure of the stoma after removal of the tube was 12.4(7~30) days. There was one case of postoperative complication related to the tubing site. Neither complication related to intestinal stapling nor anastomotic leakage was found. Conclusion The optimal mode of the operation is a single row stapling at the terminal ileum with a proximally placed tube ileostomy. The mean protection duration is about 4 weeks. During the time most anastomotic leakages if exist would have healed.关键词
直肠癌/保护性造口/吻合口漏/造口回纳Key words
rectal cancer/ protective stoma/ anastomotic leakage/ stoma closure分类
医药卫生引用本文复制引用
徐加鹤,周喜乐,王金海,华汉巨,林才照,刘凡隆,李炎冬,陈文斌..保护性肠造口自闭可行性研究[J].中国实用外科杂志,2012,32(12):1040-1042,3.
