Application of preventive flap-placement of terminal ileostomy in laparoscopic radical resection of low rectal cancer
Niu, J.W.; Ning, W.; Zhou, L.; Pei, D.P.; Meng, F.Q.; Liu, Z.Z.
Zhonghua Yi Xue Za Zhi 99(10): 750-753
2019
ISSN/ISBN: 0376-2491 PMID: 30884628 Document Number: 697858
目的： 评价预防性皮瓣支撑末端回肠造口术在腹腔镜低位直肠癌根治术中的应用价值。 方法： 回顾性分析中日友好医院普通外科一部2016年4月至2018年3月行预防性回肠造口的63例低位直肠癌患者的临床资料，其中皮瓣支撑造口组（皮瓣组）33例，传统支架管造口组（置管组）30例，分析比较两组患者的临床资料。 结果： 两组患者均顺利完成腹腔镜下直肠癌根治术加预防性回肠末端造口术。置管组术后1个月均完成支架管拆除。两组根治术后吻合口漏发生率，还纳手术时间及造口并发症各项发生率，差异均无统计学意义（均P>0.05）。但皮瓣组比置管组造口手术时间短[（28.9±4.3）min比（36.3±2.3）min，t=11.73，P<0.001]，皮瓣组造口总并发症发生率低于置管组（1例比7例，χ(2)=4.155，P=0.042），差异均有统计学意义。 结论： 对有吻合口漏高危因素的低位直肠癌患者，预防性皮瓣支撑造口术操作简单、快捷，免于拆除支架管，造口相关并发症发生率低，是一种理想的可供选择的方法，可予以推广。.
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