A study of laparoscopic extraperitoneal sigmoid colostomy after abdomino-perineal resection for rectal cancer

被引：26

作者：

Jin Heiying ^{[1
]}

Du Yonghong ^{[1
]}

Wang Xiaofeng ^{[1
]}

Yao Hang ^{[1
]}

Wu Kunlan ^{[1
]}

Zhang Bei ^{[1
]}

Zhang Jinhao ^{[1
]}

Leng Qiang ^{[1
]}

机构：

[1] Nanjing Univ, Affiliated Hosp 3, Natl Ctr Colorectal Surg, Tradit Chinese Med, 1 Jinling Rd, Nanjing 210001, Jiangsu, Peoples R China

来源：

GASTROENTEROLOGY REPORT | 2014年 / 2卷 / 01期

关键词：

rectal cancer; abdomino-perineal resection (APR); laparoscopy; extraperitoneal ostomy; complication;

D O I：

10.1093/gastro/got036

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Objective: To established a procedure for laparoscopic extraperitoneal ostomy after abdomino-perineal resection (APR) and study safety aspects and complications. Method: From July 2011 to July 2012, 36 patients with low rectal cancer undergoing APR were included in the study and divided into extraperitoneal ostomy group (n=18) and intraperitoneal ostomy group (n=18). Short-and long-term complications were compared between the two groups. All patients were followed up and the median duration was 17 months (range: 12-24). Results: The rates of short-term complication related to colostomies were comparable between the two groups, except the rate for stoma edema was higher in the extraperitoneal group (33.3% vs 0%; P=0.008). In the intraperitoneal ostomy group, two patients developed stoma prolapse, one had stoma stenosis, and two had parastomal hernia. In contrast, no long-term complications related to colostomies occurred in the extraperitoneal ostomy group. The rate of long-term complication was lower in the extraperitoneal ostomy group (0% vs 22.2%; P=0.036). Conclusion: The laparoscopic extraperitoneal ostomy is a relatively simple and safe procedure, with fewer long-term complications related to colostomy. However the follow-up period was not too long and needs to be extended.

引用

页码：58 / 62

页数：5

共 12 条

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