中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

腹腔镜修补造口旁疝术式选择和技术要点

何    凯，姚琪远   

  1. 复旦大学附属华山医院普外科，上海 200040
  • 出版日期:2015-11-01 发布日期:2015-10-29

  • Online:2015-11-01 Published:2015-10-29

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摘要：

全腹腔镜造口旁疝修补术治疗结肠造口旁疝术后复发率高；腹腔镜Sugarbaker修补术治疗回肠造口旁疝效果较好；腹腔镜Lap-re-Do修补术较全腹腔镜造口旁疝修补术修补效果更好。对于疝囊较小、较早期的结肠造口旁疝、回肠造口旁疝及回肠代膀胱的造口旁疝，全腹腔镜造口旁疝Sugarbaker法修补术可作为选择术式之一；而对于更多的结肠造口旁疝，腹腔镜Lap-re-Do修补术可能是更好的选择。

关键词: 腹腔镜, 造口旁疝, 结肠造口旁疝, 回肠造口旁疝, 无张力疝修补术

Abstract:

Key points and choice of laparoscopic parastomal hernia repairs        HE Kai，YAO Qi-yuan. Department of General Surgery，Huashan Hospital，Fudan University，Shanghai 200040，China
Corresponding author：YAO Qi-yuan，E-mail：wyhernia@yahoo.cn
Abstract    Totally laparoscopic para-colostomal hernia repairs have high postoperative recurrent rate. Laparoscopic Sugarbaker repair has a good effect for ileo-parastomal hernia. Lap-re-Do shows better outcome than totally laparoscopic hernia repairs on para-colostomal hernia. Laparoscopic Sugarbaker repair is recommended for the early para-colostomal hernia and para-ileostomal hernia with small hernial sac. Lap-re-Do may be better for the most para-colostomal hernia.

Key words: laparoscopy, parastomal gernia, para-colostomal hernia, para-ileostomal hernia, tension-free hernia repair