• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Laparoscopic rectal resection for severe endometriosis of the mid and low rectum: technique and operative results.
【24h】

Laparoscopic rectal resection for severe endometriosis of the mid and low rectum: technique and operative results.

机译：腹腔镜直肠切除术治疗中，低位直肠严重子宫内膜异位症：技术和手术效果。

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

Although several studies have shown that laparoscopic resection is safe and feasible in bowel endometriosis, limited data are available on the specific treatment for endometriosis of the rectum. The aim of this study is to describe operative and postoperative outcomes after laparoscopic resection of the mid/low rectum for endometriosis.Between 2002 and 2010, 750 patients (median age 33 years) underwent laparoscopic resection of the mid/low rectum for deep infiltrating endometriosis at a single institution. All operations were performed with a standardized technique by a single surgeon.Median operative time was 255 min, and median blood loss 150 ml. Of patients, 7% required blood transfusions. Laparotomic conversion rate was 1.6%. Mechanical low and very low colorectal anastomoses were carried out in 92.5 and 7.5% of patients, respectively. Temporary ileostomy rate was 14.5%. Median length of stay was 8 days. Overall surgical morbidity was 9% with no mortality. Rates of anastomotic leak, rectovaginal fistula, and intraabdominal bleeding were 3, 2, and 1.2%. Forty patients (5.5%) required reoperation.Laparoscopic resection of the mid/low rectum for endometriosis can be performed safely with acceptable rates of morbidity/reoperation and with low rates of specific complications, including anastomotic leak and rectovaginal fistula. The very high surgical volume of the operating surgeon is probably one of the most important factors in order to maximize postoperative outcomes.
机译：尽管多项研究表明，腹腔镜切除术在肠道子宫​​内膜异位症中是安全可行的，但有关直肠子宫内膜异位症的具体治疗方法的可用数据有限。这项研究的目的是描述腹腔镜切除子宫内膜异位症中/低位直肠癌后的手术和术后结果.2002年至2010年间，有750例患者（中位年龄33岁）接受了腹腔镜切除中/低位直肠癌的深层浸润性子宫内膜异位症。在一个机构中。所有手术均由一名外科医生采用标准化技术进行，平均手术时间为255分钟，平均失血量为150毫升。在患者中，有7％需要输血。腹腔镜转换率为1.6％。机械性低结肠直肠吻合术和极低结肠直肠吻合术分别在92.5％和7.5％的患者中进行。临时回肠造口率为14.5％。中位住院时间为8天。总体手术发病率为9％，无死亡。吻合口漏，直肠阴道瘘和腹腔内出血的发生率分别为3％，2％和1.2％。四十名患者（5.5％）需要再次手术。腹腔镜切除子宫内膜异位症可以安全地进行手术，发病率/再手术率可以接受，特定并发症的发生率也低，包括吻合口漏和直肠阴道瘘。为了使术后结果最大化，手术外科医生的手术量非常大，这可能是最重要的因素之一。

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