腹腔镜修补造口旁疝术式选择和技术要点  

Key points and choice of laparoscopic parastomal hernia repairs

作　　者：何凯[1] 姚琪远[1] 

机构地区：[1]复旦大学附属华山医院普外科,上海200040

出　　处：《中国实用外科杂志》2015年第11期1161-1165,共5页Chinese Journal of Practical Surgery

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。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.

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 

分 类 号：R6[医药卫生—外科学]