管型吻合器固定预置补片在永久性肠造口中的应用(附11例报告)
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摘要
目的探讨管型吻合器在永久性肠造口预置补片中的临床应用价值。方法回顾性分析2011年3月~2015年12月我院老年外科应用管型吻合器固定预置补片的11例肠造口患者的术后并发症及随访情况。结果术后伤口感染3例,未影响造口及置入的补片。术后均随访2年以上,未出现造口旁疝,有2例直肠癌患者2年后出现远处转移。结论永久性肠造口时使用管状吻合器固定预置人工补片,方法简捷,固定可靠。
Objective To evaluate the clinical value of the application of tubular stapler in the fixation of prophylactic mesh during the permanent enterostomy. Method The clinical data including postoperative complications and follow-up results of 11 cases performed permanent enterostomy with prophylactic mesh from March 2011 to December 2015 were analyzed retrospectively. Results Wound infections were observed in 3 cases,but having no effect on stoma or mesh. No parastomal hernia appeared over two years of follow-up. Distant metastasis was found in 2 cases of rectal cancer after two years. Conclusion The application of tubular stapler is simple and reliable in the fixation of prophylactic artificial mesh during permanent enterostomy.
Objective To evaluate the clinical value of the application of tubular stapler in the fixation of prophylactic mesh during the permanent enterostomy. Method The clinical data including postoperative complications and follow-up results of 11 cases performed permanent enterostomy with prophylactic mesh from March 2011 to December 2015 were analyzed retrospectively. Results Wound infections were observed in 3 cases,but having no effect on stoma or mesh. No parastomal hernia appeared over two years of follow-up. Distant metastasis was found in 2 cases of rectal cancer after two years. Conclusion The application of tubular stapler is simple and reliable in the fixation of prophylactic artificial mesh during permanent enterostomy.
引文
[1]周建平.结肠造口旁疝的预防[J].临床外科杂志,2009,17(3):159-160.
[2]G9genur I,Mortensen J,Harvald T,et al.Prevention of parastomal hernia by placement of a polypropylene mesh at the primary operation[J].Dis Colon Rectum,2006,49(8):1131-1135.
[3]Helgstrand F,G9genur I,Rosenberg J.Prevention of parastomal hernia by the placement of a mesh at the primary operation[J].Hernia,2008,12(6):577-582.doi:10.1007/s10029-008-0387-8.
[4]Vijayasekar C,Marimuthu K,Jadhav V,et al.Parastomal hernia:Is prevention better than cure?Use of preperitonealpolypropylene mesh at the time of stoma formation[J].Tech Coloproctol,2008,12(4):309-313.doi:10.1007/s10151-008-0441-7.
[5]Zhu J,Pu Y,Yang X,et al.Prophylactic mesh application during colostomy to prevent parastomal hernia:A meta-analysis[J].Gastroenterol Res Pract,2016,2016:1694265.
[6]López-Cano M,Brandsma HT,Bury K,et al.Prophylactic mesh to prevent parastomal hernia after end colostomy:a meta-analysis and trial sequential analysis[J].Hernia,2017,21(2):177-189.doi:10.1007/s10029-016-1563-x.
[7]Janes A,Cengiz Y,Israelsson LA.Preventing parastomal hernia with a prosthetic mesh:a 5-year follow-up of a randomized study[J].World J Surg,2009,33(1):118-121.doi:10.1007/s00268-008-9785-4.
[8]Brandsma HT,Hansson BM,Aufenacker TJ,et al.Prophylactic mesh placement during formation of an end-colostomy reduces the rate of parastomal hernia:short-term results of the Dutch PREVENT-trial[J].Ann Surg,2017,265(4):663-669.doi:10.1097/SLA.0000000000001903.
[9]Berger D.Prevention of parastomal hernias by prophylactic use of a specially designed intraperitoneal onlay mesh(Dynamesh IPST)[J].Hernia,2008,12(3):243-246.
[10]Hammond TM,Huang A,Prosser K,et al.Parastomal hernia prevention using a novel collagen implant:a randomised controlled phase 1 study[J].Hernia,2008,12(5):475-481.doi:10.1007/s10029-008-0383-z.
[11]Antoniou SA,Agresta F,Garcia Alamino JM,et al.European Hernia Society guidelines on prevention and treatment of parastomal hernias[J].Hernia,2018,22(1):183-198.doi:10.1007/s10029-017-1697-5.
[2]G9genur I,Mortensen J,Harvald T,et al.Prevention of parastomal hernia by placement of a polypropylene mesh at the primary operation[J].Dis Colon Rectum,2006,49(8):1131-1135.
[3]Helgstrand F,G9genur I,Rosenberg J.Prevention of parastomal hernia by the placement of a mesh at the primary operation[J].Hernia,2008,12(6):577-582.doi:10.1007/s10029-008-0387-8.
[4]Vijayasekar C,Marimuthu K,Jadhav V,et al.Parastomal hernia:Is prevention better than cure?Use of preperitonealpolypropylene mesh at the time of stoma formation[J].Tech Coloproctol,2008,12(4):309-313.doi:10.1007/s10151-008-0441-7.
[5]Zhu J,Pu Y,Yang X,et al.Prophylactic mesh application during colostomy to prevent parastomal hernia:A meta-analysis[J].Gastroenterol Res Pract,2016,2016:1694265.
[6]López-Cano M,Brandsma HT,Bury K,et al.Prophylactic mesh to prevent parastomal hernia after end colostomy:a meta-analysis and trial sequential analysis[J].Hernia,2017,21(2):177-189.doi:10.1007/s10029-016-1563-x.
[7]Janes A,Cengiz Y,Israelsson LA.Preventing parastomal hernia with a prosthetic mesh:a 5-year follow-up of a randomized study[J].World J Surg,2009,33(1):118-121.doi:10.1007/s00268-008-9785-4.
[8]Brandsma HT,Hansson BM,Aufenacker TJ,et al.Prophylactic mesh placement during formation of an end-colostomy reduces the rate of parastomal hernia:short-term results of the Dutch PREVENT-trial[J].Ann Surg,2017,265(4):663-669.doi:10.1097/SLA.0000000000001903.
[9]Berger D.Prevention of parastomal hernias by prophylactic use of a specially designed intraperitoneal onlay mesh(Dynamesh IPST)[J].Hernia,2008,12(3):243-246.
[10]Hammond TM,Huang A,Prosser K,et al.Parastomal hernia prevention using a novel collagen implant:a randomised controlled phase 1 study[J].Hernia,2008,12(5):475-481.doi:10.1007/s10029-008-0383-z.
[11]Antoniou SA,Agresta F,Garcia Alamino JM,et al.European Hernia Society guidelines on prevention and treatment of parastomal hernias[J].Hernia,2018,22(1):183-198.doi:10.1007/s10029-017-1697-5.