1例腹腔镜辅助下造口旁疝修补并文献复习  

One case of laparoscopic parastomal hernia repairs and literature review

作　　者：罗志坚 胡伟贤 黄成智 王俊江 胡世雄[1] 黎伟豪 姚学清 Luo Zhijian;Hu Weixian;Huang Chengzhi;Wang Junjiang;Hu Shixiong;Li Weihao;Yao Xueqing(Department of General Surgery,Guangdong Provincial People’s Hospital(Guangdong Academy of Medical Sciences),Guangzhou 510080,China;Guangzhou Eighth People’s Hospital,Guangzhou 510060,China;School of Medicine,South China University of Technology,Guangzhou 510006,China;The Second School of Clinical Medicine,Southern Medical University,Guangzhou 510182,China;Huazhong University of Science and technology Union Shenzhen Hospital,Shenzhen 518000,Guangdong Province,China)

机构地区：[1]广东省人民医院(广东省医学科学院)普外科,广州510080 [2]广州市第八人民医院,广州510060 [3]华南理工大学医学院,广州510006 [4]南方医科大学第二临床学院,广州510182 [5]华中科技大学协和深圳医院,广东深圳518000

出　　处：《中国临床解剖学杂志》2021年第1期108-110,114,共4页Chinese Journal of Clinical Anatomy

基　　金：广东省科技计划项目(2014A020212636,2016A020215128,2017A030223006);广东省人民医院院内专项(y012015338);广州市科技计划项目(201704020077)。

摘　　要：目的分析造口旁疝的类型以及手术处理方式。方法通过病例报道并文献分析历年来造口旁疝患者手术方案的报道。结果在回顾报道的1例腹腔镜辅助下造口旁疝修补的患者病例中,患者造口旁疝类型为EHS分类Ⅳ型,采用Sugarbaker术式修补造口旁疝,修补术后3 d进食,5 d即出院。结论腹腔镜造口旁疝修补具有并发症较低,住院时间缩短等优势,但仍需更多高质量数据支持。Objective To analyze the types and surgical management of parastomal hernia.Methods The case reports and literature analysis was used to explore the surgical procedures for patients with paratomal hernia reports to the past years.Results In a retrospective report,on 1 case of laparoscopic parastomal hernia repaired patients,with EHS classification typeⅣ,sugarbaker operation procedure,and patient eating 3 days after the repair,5 days of discharge.Conclusions Laparoscopic parastomal hernia repairs with lower complications and shorter hospital stay but still need more high-quality data support.

关 键 词：造口旁疝 疝修补术 腹腔镜 

分 类 号：R656.2[医药卫生—外科学] R656.7[医药卫生—临床医学]