[1]成军,李晓云,晏伟,等.直肠癌腹腔镜腹会阴联合切除术腹膜外造口与腹膜内造口的比较[J].中国微创外科杂志,2017,17(12):1080-1082.
　Cheng Jun,Li Xiaoyun,Yan Wei,et al.Comparison of Extraperitoneal and Intraperitoneal Colostomy After Laparoscopic Abdominoperineal Resection for Rectal Cancer[J].Chinese Journal of Minimally Invasive Surgery,2017,17(12):1080-1082.
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直肠癌腹腔镜腹会阴联合切除术腹膜外造口与腹膜内造口的比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年12期
页码:
1080-1082
栏目:
临床研究
出版日期:
2017-12-20

文章信息/Info

Title:
Comparison of Extraperitoneal and Intraperitoneal Colostomy After Laparoscopic Abdominoperineal Resection for Rectal Cancer
作者:
成军; 李晓云; 晏伟; 陶正贵; 廖晓锋**
襄阳市中心医院普外科，襄阳441021
Author(s):
Cheng Jun;  Li Xiaoyun;  Yan Wei;  et al.
Department of General Surgery, Xiangyang Central Hospital, Xiangyang 441021, China
关键词:
腹腔镜; 腹会阴联合切除术; 腹膜外造口
Keywords:
Laparoscopy; Abdominoperineal resection; Extraperitoneal colostomy
文献标志码:
A
摘要:
目的探讨直肠癌腹腔镜腹会阴联合切除术中腹膜外造口的临床价值。方法回顾性分析我院2009年5月~2015年4月89例直肠癌腹腔镜腹会阴联合切除术的临床资料，评估腹膜内造口和腹膜外造口手术时间、术后并发症、排便感的差异。结果2组造瘘手术时间无统计学差异［(23.5±5.6)min vs.(21.8±3.2)min, t=1.730,P=0.087］；2组造瘘口狭窄各1例，无统计学差异(Fisher精确检验，P=1.000)；2组造瘘口旁疝无统计学差异(0例 vs.3例, Fisher精确检验，P=0.101)。腹膜外造口组术后4周排便感39例，显著多于腹膜内造口组3例 (χ2=51.185，P=0.000)。术后6个月2组患者均有排便感。结论腹腔镜腹膜外乙状结肠造口有一定优势。
Abstract:
ObjectiveTo discuss the clinical significance of extraperitoneal sigmoid colostomy after laparoscopic abdominoperineal resection (APR) for rectal cancer. Methods Clinical data of 89 cases of laparoscopic APR in our hospital from May 2009 to April 2015 were retrospectively analyzed. The surgical time, postoperative complications and sense of defecation were compared between extraperitoneal sigmoid colostomy and intraperitoneal sigmoid colostomy.ResultsThere were no differences in operative time ［(23.5±5.6) min vs. (21.8±3.2) min, t=1.730, P=0.087］, stenosis incidence (1 case vs. 1 case, Fisher’s exact test, P=1.000), or parastomal hernia incidence (0 vs. 3 cases, Fisher’s exact test, P=0.101) between extraperitoneal and intraperitoneal sigmoid colostomy groups. After 4 weeks there were 39 cases of sense of defecation in the extraperitoneal sigmoid colostomy group and 3 cases in the intraperitoneal sigmoid colostomy group. The difference was significant (χ2=51.185, P=0.000). All the patients in both groups had sense of defecation after 6 months. ConclusionLaparoscopic extraperitoneal sigmoid colostomy after APR has some advantages.

参考文献/References:

[1]黄峰,应敏刚,杨春康,等.腹腔镜与开腹腹会阴联合切除术治疗低位直肠癌的临床对照研究.中国微创外科杂志,2014,14(8):692-694.
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备注/Memo

备注/Memo:
基金项目：襄阳市科技局课题（襄科计［2014］9-1）**通讯作者，E-mail:xfliao@medmail.com.cn
更新日期/Last Update: 2018-03-21