...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>European Journal of Surgical Oncology: The Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology >Temporary percutaneous ileostomy versus conventional loop ileostomy in mechanical extraperitoneal colorectal anastomosis: A retrospective study
【24h】

Temporary percutaneous ileostomy versus conventional loop ileostomy in mechanical extraperitoneal colorectal anastomosis: A retrospective study

机译：暂时性经皮回肠造口术与常规环回肠造口术在机械性腹膜外结直肠吻合术中的回顾性研究

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Aim: Loop ileostomy is a suitable procedure for transitory faecal diversion after low colorectal anastomosis, but it causes relevant morbidities (discomfort, peristomal infections, dehydration) and requires a second operation to be closed. We already described an alternative technique of temporary percutaneous ileostomy (TPI) that can be removed without surgery. Method: The data of 143 consecutive patients, undergoing elective laparoscopic anterior resection of the rectum for adenocarcinoma and low mechanical colorectal anastomosis, 68 with conventional loop ileostomy (CLI) and 75 with TPI, were analyzed. Results: Neither intra-operative complications nor deaths occurred during the follow-up period. Clinical anastomotic leakage occurred in 4 patients with CLI and in 1 with TPI (p = 0.191). The median time required for the emission of gases and faeces through the stoma was respectively 1 and 2.5 days in the CLI group, and 1 and 2 days in the TPI group (p = 0.259 and p = 0.126). The median post-operative stay was 8 days in the CLI group and 11 days in the TPI group (p < 0.001). PTIs were removed on the median of 9 days after surgery without major complications, whereas the CLIs were re-canalized in 79.4% of patients on an average of 106 days, with 2 major complications. Conclusion: The temporary percutaneous ileostomy seems to be a valid alternative to conventional ileostomy, ensuring optimal faecal diversion and less patient discomfort. It can be easily removed without surgery, allowing patients a better outcome.
机译：目的：回肠回肠造口术是低结肠直肠吻合术后短暂性粪便转移的一种合适方法，但会引起相关的发病率（不适，肠壁感染，脱水），需要再次手术。我们已经描述了一种临时性经皮回肠造口术（TPI）的替代技术，该技术无需手术即可移除。方法：分析了连续143例接受选择性腹腔镜直肠切除术治疗腺癌和低机械结直肠吻合术的患者，68例常规loop回肠造口术（CLI）和75例TPI的数据。结果：随访期间既没有术中并发症发生，也没有死亡。临床吻合口漏发生在4例CLI患者和1例TPI患者中（p = 0.191）。 CLI组中通过气孔排放气体和粪便所需的中位时间分别为1天和2.5天，TPI组为1天和2天（p = 0.259和p = 0.126）。 CLI组的中位术后住院时间为8天，TPI组的中位术后住院时间为11天（p <0.001）。术后9天的中位数去除PTI，无重大并发症，而79.4％的患者平均106天有2个重大并发症，再次行CLI。结论：临时经皮回肠造口术似乎是传统回肠造口术的有效替代方法，可确保最佳的粪便转移和减少患者不适感。无需手术即可轻松将其取出，从而使患者获得更好的结果。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号