造口旁疝修补的技术发展  

Dechnical development of parastomal hernia repair techniques

作　　者：李明磊 傅晓键[1] 姚琪远[1] Li Minglei;Fu Xiaojian;Yao Qiyuan(Department of General Surgery,Huashan Hospital Affiliated to Fudan University Hernia Center of Fudan University,Shanghai 200040)

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

出　　处：《中华胃肠外科杂志》2022年第11期1033-1038,共6页Chinese Journal of Gastrointestinal Surgery

摘　　要：造口旁疝作为腹壁造口术后常见并发症,尽管欧洲疝学会指南建议,应用手术治疗处理造口旁疝,但没有“金标准”术式。造口旁疝修补手术方式的探索实践已进行多年,从早先的疝环组织缝合修补和造口移位修补术,到补片的加强(如Keyhole修补技术和Sugarbaker修补技术)以及腹腔镜技术的应用,再到各种方法的结合。单孔和机器人手术的介入、造口旁疝的预防、治疗的专科化、多学科合作及诊断方式的改进等,都将为造口患者提供更优化的解决方案。本文将回顾总结造口旁疝手术技术的发展历程并予以评价。Parastomal hernia is a common complication after abdominal ostomy.Although the European Hernia Society guidelines recommend surgical treatment for parastomal hernia,there is still no"gold standard"procedure.The exploration and practice of parastomal hernia repair surgery has been carried out for many years,from the earlier hernia ring suture and stoma relocation repair,to the reinforcement of meshes(such as the Keyhole repair technique and the Sugarbaker repair technique)and the application of laparoscopic technique,and then to the combination of various methods.The intervention of single-port laparoscopic technique and robot-assisted surgery,the prevention of parastomal hernia,the specialization of treatment,multidisciplinary cooperation,and the improvement of diagnostic methods will all provide more optimal solutions for stoma patients.This article will review and summarize the development process and evaluation of parastomal hernia surgical techniques.

关 键 词：造口旁疝 补片 腹腔镜 造口重建 

分 类 号：R656[医药卫生—外科学]