应用管状吻合器经腹膜外途径结肠造口术

目的 探讨应用管状吻合器经腹膜外途径结肠造口术的应用价值.方法 回顾性分析2008年3月至2009年3月吉林大学第一医院结直肠肛门外科应用管状吻合器施行经腹膜外途径结肠永久性造瘘术的22例患者的资料.结果 所有造口均一次性成功完成,造口时间(15±5)min.造口大小划一,外形美观平整.术中因吻合口渗血需电凝止血3例,无吻合器钉合不全,无黏膜坏死.术后无一例发生造口出血、坏死、感染、回陷、狭窄、肠梗阻和造瘘口旁疝等并发症.术后3个月左右吻合钉逐渐脱落,随防6～24个月,造口通畅,无疤痕收缩狭窄,造口外形和功能均良好.结论 应用管状吻合器经腹膜外途径行结肠造瘘术,具有操作简便、外形划一美观、并发症少等优点.

The application of circular stapler in extraperitoneal colostomy

Objective To evaluate the clinical and application value of circular stapler in extraperitoneal colostomy.Methods Retrospective analysis was made to 22 cases that experienced extraperitoneal colostomy with circular stapler from Match 2008 to March 2009 in the department of colon and anal surgery of the first hospital of Jilin University.Results The length of surgery was(15±5)min when circular stapler- assisted extraperitoneal colostomy was used.and all of the colostomies were successfully completed during the first procedure.No complications occurred after surgery,such as stoma bleeding,necrosis, infection,retraction, stenosis,intestinal obstruction and hernia beside the stoma etc.Colostomy size of the uniform.beautiful shape formation.Although there were three cases requiring hemostasis due to anastomotic bleeding that occurred during the operation.About 3 months later.staples of the stoma fell off by themselves.All patients were followed up for 6 to 24 months after operation,form and function of colostomy are well.Conclusion The popularization of the application of circular stapler in extraperitoneal colostomy is important and worthwhile for its obvious advantages such as simple operation,good stoma appearance and reduced complications.