回肠造口旁腹壁伤口裂开一例并文献复习

肠造口在部分肠道良、恶性疾病的治疗中起重要作用。良好的造口功能有利于患者恢复正常的生活。然而,当发生造口相关并发症时,患者的身心健康及社会功能将不可避免地受到影响。本文报道了一例腹腔镜下直肠癌根治性切除、肝转移瘤切除及预防性末端回肠袢式造口术后早期并发回肠造口旁腹壁伤口裂开,进而出现局段小肠经造口脱出,行二次手术治疗的病例,并结合相关文献复习,探讨此造口相关并发症的危险因素及防治原则,以期提高外科医师对此类并发症的认识。

Abdominal wound dehiscence after ileostomy: a case report and literature review

Enterostomy plays an important role in the treatment of some intestinal benign and malignant diseases. Good stoma function is conducive to the recovery of the patient's normal life. However, when stoma related complications occur, patients' physical and mental health and social functions will inevitably be affected. Here, we report a case of laparoscopic radical resection of rectal cancer, resection of liver metastases and prophylactic end loop ileostomy with early complication of abdominal wall wound dehiscence near ileostomy, which led to a part of intestinal prolapse through the stoma and secondary surgical treatment. Combined with the review of relevant literature, we discuss the risk factors and prevention and treatment principles of this kind of complications related to stoma, in order to improve the surgeon's understanding of such complications.