Lap-re-Do Keyhole技术在巨大造口旁疝中的应用:附视频  

Application of Lap-re-Do Keyhole technique in large parastomal hernia:video attached

作　　者：傅晓键[1] 李明磊 何凯[1] 陈浩[1] 花荣[1] 姚琪远[2] Fu Xiaojian;Li Minglei;He Kai;Chen Hao;Hua Rong;Yao Qiyuan(Department of General Surgery,Huashan Hospital,Fudan University,Shanghai 200040,China;Hernia Center,Fudan University,Shanghai 200040,China)

机构地区：[1]复旦大学附属华山医院外科,上海200040 [2]复旦大学疝病中心,上海200040

出　　处：《中华普通外科学文献（电子版）》2022年第5期329-331,共3页Chinese Archives of General Surgery(Electronic Edition)

摘　　要：目的回顾总结Lap-re-Do Keyhole技术在巨大造口旁疝中应用的安全性及有效性。方法回顾性分析2009年5月至2019年5月在复旦大学附属华山医院行Lap-re-Do Keyhole术式并能完成随访的40例巨大造口旁疝患者的复发及并发症情况。结果巨大造口旁疝中,Lap-re-Do Keyhole术式的复发率为40.0%,并发症发生率为12.5%,再次手术率为15.0%。结论巨大造口旁疝目前仍是治疗的难题,Lap-re-do Keyhole术式远期复发率较高,不推荐应用于巨大造口旁疝。Objective To review the safety and efficacy of Lap-re-Do Keyhole technique in the treatment of large parastomal hernia.Methods A retrospective analysis was carried out of the recurrence and complications of 40 patients with large parastomal hernia who underwent Lap-re-Do Keyhole technique in Huashan Hospital of Fudan University from May 2009 to May 2019.Results In large parastomal hernias,Lap-re-Do Keyhole had a recurrence rate of 40.0%,complication rate of 12.5%,and reoperation rate of 15.0%.Conclusions Large parastomal hernias are still difficult to be treated.Lap-re-Do Keyhole has a high long-term recurrence rate and is not recommended for large parastomal hernia.

关 键 词：造口旁疝 复发 Lap-re-Do Keyhole 

分 类 号：R656.2[医药卫生—外科学]