• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Single incision laparoscopic (SILS) restorative proctocolectomy with ileal pouch-anal anastomosis.
【24h】

Single incision laparoscopic (SILS) restorative proctocolectomy with ileal pouch-anal anastomosis.

机译：单切口腹腔镜（SILS）修复性结肠切除术与回肠囊袋肛门吻合术。

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

BACKGROUND: Restorative proctocolectomy with ileoanal pouch is the definitive procedure in ulcerative colitis. The potential benefits afforded by a single incision laparoscopic (SILS) approach make it appropriate to consider. METHODS: Electronic data were prospectively collected from all patients who underwent SILS restorative proctocolectomy (SILS-RPC) between June 2009 and June 2010. RESULTS: Ten consecutive patients (4 male), with median BMI = 22 (range = 20-28 kg/m(2)) underwent SILS-LRPC over a 1-year period. Three had undergone a previous emergency laparoscopic colectomy. A single-port device (Covidien SILS or Olympus TriPort) was positioned at the site of the existing or proposed temporary ileostomy (2.5-cm incision). The colon and rectum were extracted through the SILS site (n = 8) or transanally following a mucosectomy (n = 2). A 20-cm J pouch was constructed extracorporeally and returned via the ileostomy site. Pouch-anal anastomosis was performed intracorporeally (n = 8) or hand-sutured (n = 2) and a diverting loop ileostomy was created at the SILS port site. The median operation time was 185 min (range = 100-381). There were no conversions or additional ports required. Median time to full diet was 36 h (range = 4-48 h) with a median hospital stay of 3 days (range = 2-8 days). There were no 30-day readmissions. Complications included surgical emphysema with temperature and a panic attack. Nine stomas have been closed. All patients have spontaneity of defecation, with a median pouch frequency of four per day, including once at night. All are fully continent and able to defer during the day. One reported a dry ejaculate for 10 weeks. CONCLUSION: SILS restorative proctocolectomy is safe with good early functional outcomes when performed by an experienced laparoscopic surgeon.
机译：背景：结肠回肠结肠切除术是溃疡性结肠炎的确定性手术。单切口腹腔镜（SILS）方法提供的潜在益处使其值得考虑。方法：前瞻性收集所有在2009年6月至2010年6月间接受SILS修复性结肠切除术（SILS-RPC）的患者的电子数据。结果：连续10例患者（4例男性），中位BMI = 22（范围= 20-28 kg / m（2））在1年内经历了SILS-LRPC。三名曾接受过紧急腹腔镜结肠切除术。将单端口设备（Covidien SILS或Olympus TriPort）放置在现有或提议的临时回肠造口术（切口2.5厘米）处。结肠和直肠通过SILS部位（n = 8）或粘膜切除术后经肛门（n = 2）取出。体外构造一个20厘米的J袋，并通过回肠造口术部位返回。体内（n = 8）或手工缝合（n = 2）进行袋肛门吻合术，并在SILS港口现场进行了分流回肠造口术。中位手术时间为185分钟（范围= 100-381）。无需转换或其他端口。完全饮食的中位时间为36小时（范围= 4-48小时），中位住院时间为3天（范围= 2-8天）。没有30天的重新录取。并发症包括外科气肿伴温度升高和惊恐发作。九个口气已经关闭。所有患者都有自发性排便，平均囊袋频率为每天四次，包括晚上一次。所有人都完全属于大陆，并且可以在白天顺延。有人报告射精干了十周。结论：由经验丰富的腹腔镜外科医生进行SILS修复性直肠结肠切除术是安全的，早期功能良好。

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