回肠系膜覆盖法在困难盆底腹膜关闭中的应用  

Application of ileal mesentery covering method in difficult pelvic floor peritoneal closure

作　　者：王栓虎 时依 柳亚魁 WANG Shuanhu;SHI Yi;LIU Yakui(Department of Gastrointestinal Surgery,The First Affiliated Hospital of Bengbu Medical University,Bengbu,Anhui 233000,China)

机构地区：[1]蚌埠医科大学第一附属医院胃肠外科,安徽蚌埠233000

出　　处：《手术电子杂志》2024年第6期7-8,共2页Electronic Journal of Medical Operations

基　　金：安徽省高校自然科学研究项目(KJ2020A0584)

摘　　要：腹会阴联合切除术(APR)是低位直肠癌的经典手术方式,但在腹会阴联合切除术后,盆腔会残留较大的缺损。盆底腹膜一般会使用倒刺线进行缝合关闭,以防肠管坠入导致肠梗阻。但是对于部分进行过放化疗的患者,盆底腹膜已无法拉拢缝合,使用回肠系膜覆盖法可以有效关闭盆底。Abdominoperineal resection(APR)is a traditional surgical procedure for low rectal cancer.However,following APR,a significant cavity is left in the pelvic region.The pelvic floor peritoneum is usually closed using barbed wire.For certain patients who have undergone chemoradiotherapy,direct suturing of the pelvic floor peritoneum may not be feasible.In such cases,the method of covering the pelvic floor peritoneum with the ileal mesentery can be effectively employed for suturing.

关 键 词：腹会阴切除术 腹膜关闭 直肠癌 

分 类 号：R735.37[医药卫生—肿瘤]