腹部多发伤后腹腔镜辅助回肠造口还纳1例  

A case of laparoscopic assisted ileostomy reduction after multiple abdominal injuries

作　　者：王安琪 卞策 刘雪峰[2] 周海洋 Anqi Wang;Ce Bian;Xuefeng Liu;Haiyang Zhou(Department of Colorectal Surgery,Shanghai Changzheng Hospital,Shanghai 200003,China;Department of Emergency,Shanghai Changzheng Hospital,Shanghai 200003,China)

机构地区：[1]上海长征医院肛肠外科,上海200003 [2]上海长征医院急救科,上海200003

出　　处：《中国综合临床》2023年第4期258-260,共3页Clinical Medicine of China

摘　　要：合并腹部手术史的患者大多存在不同程度的腹腔粘连,传统观念将其视为腹腔镜手术的相对禁忌证。随着微创外科理念的深入,临床上提出了再手术微创化,避免了多次开腹手术对患者造成的创伤。上海长征医院2022年6月对1例腹部多发伤后多次开腹手术史的患者实施了腹腔镜辅助回肠造口还纳术,实现了“巨创”后的微创,使患者最大程度获益。Patients with abdominal surgery history always present different degrees of abdominal adhesion.In the past,it was regarded as a relative contraindication of laparoscopic surgery.With the development of minimally invasive concept,reoperative minimally invasive surgery is proposed in clinic to avoid huge trauma caused by multiple open surgeries.In June 2022,a laparoscopic assisted ileostomy reduction was performed for a patient with history of multiple abdominal injuries in Shanghai Changzheng Hospital.Minimally invasive achieved after huge trauma,and it maximized the benefit to the patient.

关 键 词：腹部多发伤 造口还纳术 再手术微创化 

分 类 号：R656[医药卫生—外科学]