腹腔镜辅助与传统开腹回肠袢式造口还纳术的对比研究

发布时间：2018-04-26 03:02

本文选题：回肠袢式造口还纳术 + 腹腔镜辅助手术　；参考：《中日友好医院学报》2016年06期

【摘要】：目的:对比腹腔镜辅助与传统开腹回肠袢式造口还纳术,评估腹腔镜技术在回肠袢式造口还纳术中应用的优劣。方法:对本院接受腹腔镜辅助(n=25)和常规开腹手术(n=41)的回肠袢式造口患者的基线资料、术中出血量、手术时间、术后住院天数、术后并发症等进行统计学分析。结果:2组患者的基线临床资料无统计学差异,腹腔镜辅助组术后总并发症发生率4%(1/25),为顽固性腹水1例,无切口感染及肠梗阻(0/25);传统手术组顽固性腹水、切口感染和肠梗阻的发生率分别为14.63%(6/41)、4.88%(2/41)、9.76%(4/41)。腹腔镜辅助组手术时间显著长于传统手术组(P0.05)。术中出血量及术后住院天数,2组间无显著性差异。结论:腹腔镜辅助回肠袢式造口还纳术是安全的微创手术方式,有减少术后并发症的趋势。
[Abstract]:Objective: to evaluate the advantages and disadvantages of laparoscopy in ileal loop anastomosis. Methods: the baseline data, intraoperative bleeding volume, operative time, postoperative hospital stay and postoperative complications of the patients undergoing laparoscopically assisted operation and routine laparotomy were analyzed statistically. Results there was no significant difference in baseline clinical data between the two groups. The incidence of postoperative complications in the laparoscopy assisted group was 4 / 25%, one case of intractable ascites without incisional infection and intestinal obstruction. The incidence of incisional infection and intestinal obstruction were 14.63 / 41 / 4.88 / 2 / 41 / 9.76 / 4 / 41 respectively. The operative time of laparoscopy assisted group was significantly longer than that of traditional operation group (P 0.05). There was no significant difference in intraoperative bleeding and postoperative hospital stay between the two groups. Conclusion: laparoscopically assisted ileal loop ostomy is a safe and minimally invasive procedure with a tendency to reduce postoperative complications.
【作者单位】：中日友好医院普通外科一部;
【分类号】：R735;R656

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