中国实用外科杂志2017，Vol.37Issue(11)：1269-1271,1275,4.DOI:10.19538/j.cjps.issn1005-2208.2017.11.20
经同侧腹直肌易位造口腹腔镜造口旁疝修补术17例疗效分析
Curative effect of laparoscopic parastomal hernia repair with stoma relocation trans ispilateral rectus abdominis: An analysis of 17 cases
李伟东 1王东 1纪艳超 1张霞 1张岩 1刘昶1
作者信息
- 1. 哈尔滨医科大学附属第四医院普外三科,黑龙江哈尔滨150001
- 折叠
摘要
Abstract
Objective To evaluate the effectiveness and safety of laparoscopic parastomal hernia repair with stoma relocation trans ipsilateral rectus abdominis.Methods The clinical data of 17 cases of parastomal hernia performed laparoscopic parsatomal hernia repair and stoma relocation trans ispilateral rectus abdominis from January 2015 to December 2016 in the Fourth Affiliated Hospital of Harbin Medical University were analyzed retrospectively.Results All the 17 cases were treated successfully by stoma relocation trans ispilateral rectus abdominis and mesh were placed to strengthen the both new stoma area and original part of the abdominal wall defects.Six cases were performed by Keyhole procedure and 11 by Sugarbaker procedure.Mean operation time was 139.1 (90-200) min and postoperative hospital stay was 13.9 (10-18) day.Two cases had incisional infection and 3 cases had abdominal pain that could be alleviated in 4 to 5 weeks.All the cases were followed up for 10.5 (4 to 19)months.All the cases were restored not only abdominal wall morphology and function,but also stoma function.There were no stoma related complication in the new stoma.Conclusion It is effective,safe and feasible to repair parastomal hernia with unsatisfied stoma and complex hernia by laparoscopic parsatomal hernia repair and stoma relocation trans ispilateral rectus abdominis,with lower complications and the recurrence rate.关键词
造口旁疝/易位造口/腹腔镜/疝修补术Key words
parastomal hernia/stoma relocation/laparoscope/hernia repair分类
医药卫生引用本文复制引用
李伟东,王东,纪艳超,张霞,张岩,刘昶..经同侧腹直肌易位造口腹腔镜造口旁疝修补术17例疗效分析[J].中国实用外科杂志,2017,37(11):1269-1271,1275,4.
