切换至 "中华医学电子期刊资源库"

中华疝和腹壁外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (05) : 448 -449. doi: 10.3877/cma.j.issn.1674-392X.2021.05.002

述评

关于降低造瘘口旁疝修补术后复发率的研究进展
杨福全1,()   
  1. 1. 110004 沈阳,中国医科大学附属盛京医院普通外科,结直肠、疝、微创外科病房
  • 收稿日期:2021-03-08 出版日期:2021-10-14
  • 通信作者: 杨福全
  • 基金资助:
    国家科技支撑计划课题(2015BAI13B09)

Research progress on reducing the recurrence rate after parastomal hernia repair

Fuquan Yang1,()   

  1. 1. Department of General Surgery, Colon Rectum, Hernia and Minimum Invasive Surgery Ward, Shengjing Hospital of China Medical University, Shenyang 110004, China
  • Received:2021-03-08 Published:2021-10-14
  • Corresponding author: Fuquan Yang
引用本文:

杨福全. 关于降低造瘘口旁疝修补术后复发率的研究进展[J/OL]. 中华疝和腹壁外科杂志(电子版), 2021, 15(05): 448-449.

Fuquan Yang. Research progress on reducing the recurrence rate after parastomal hernia repair[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2021, 15(05): 448-449.

造口旁疝是常见的外科疾病,严重影响造口患者的生活质量和身体健康。目前造口旁疝外科手术修补方式主要有Keyhole、Sugarbaker及Sandwich等方法。由于患者腹腔压力增加、腹壁肌肉筋膜薄弱、外科手术技术、修补方法及修补材料等诸多方面因素的影响,使得造口旁疝修补术后复发率高于其他腹壁疝修补术后的复发率。在造口旁疝的外科治疗和降低复发率方面需要多方面研究和探讨,导致造口旁疝复发的重要因素包括Keyhole修补方法中补片预留造口的大小及补片的皱缩等因素的控制;在Sugarbaker修补方法中补片的确切固定问题、覆盖造口肠管补片远期对肠管结构和功能影响的问题等。通过对这些修补技术和材料的研究改进,有助于提高造口旁疝的治疗效果和降低造口旁疝修补术后复发率。

Parastomal hernia is a common surgical disease, which seriously affects the quality of life and physical health of stoma patients. At present, the main surgical repair methods of parastomal hernia include Keyhole, Sugarbaker and Sandwich. Due to the increase in abdominal pressure, abdominal wall muscle fascia weakness and other physical factors, surgical techniques, repair methods, repair materials and many other factors, the recurrence rate after the parastomal hernia repair is higher than that after other abdominal wall hernia repair. Many aspects need to be studied and discussed in the surgical treatment of parastomal hernia and reducing the recurrence rate. The important factors of parastomal hernia recurrence include: in Keyhole repair method, the size of the mesh reserved for the stoma, the wrinkle of the mesh and control for other factors; in Sugarbaker repair method, the exact fixation problem of mesh, long-term effects of mesh on the structure and function of stoma colon or intestine, etc. Research and improvement of these repair techniques and materials can contribute to improve the therapeutic effect of parastomal hernia and reduce the recurrence rate after parastomal hernia repair.

[1]
O'Neill CH, Borrazzo EC, Hyman NH. Parastomal hernia repair[J]. J Gastrointest Surg, 2015, 19(4): 766-769.
[2]
DeAsis FJ, Lapin B, Gitelis ME, et al. Current state of laparoscopic parastomal hernia repair: a meta-analysis[J]. World J Gastroenterol, 2015, 21(28): 8670-8677.
[3]
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.
[4]
Yan Z, Zhang H, Zhan H, et al. The modified laparoscopic keyhole parastomal hernia repair with in situ re-ostomy has low recurrence rate[J]. Hernia, 2018, 22(4): 685-690.
[5]
Gameza VA, Bell Lybecker M, et al. Laparoscopic keyhole versus sugarbaker repair in parastomal hernia: a long-term case-controlled prospective study of consecutive patients[J]. J Laparoendosc Adv Surg Tech A, 2020, 30(7): 783-789.
[6]
Lin YW, Keller P, Davenport DL, et al. parastomal hernia repair outcomes: a nine-year experience[J]. Am Surg, 2019, 85(7): 738-741.
[7]
Fox SS, Janczyk R, Warren JA, et al. An Evaluation of parastomal hernia repair using the americas hernia society quality collaborative [J]. Am Surg, 2017, 83(8): 881-886.
[1] 李刘庆, 陈小翔, 吕成余. 全腹腔镜与腹腔镜辅助远端胃癌根治术治疗进展期胃癌的近中期随访比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 23-26.
[2] 刘世君, 马杰, 师鲁静. 胃癌完整系膜切除术+标准D2根治术治疗进展期胃癌的近中期随访研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 27-30.
[3] 奚玲, 仝瀚文, 缪骥, 毛永欢, 沈晓菲, 杜峻峰, 刘晔. 基于肌少症构建的造口旁疝危险因素预测模型[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 48-51.
[4] 谢田伟, 庞于樊, 吴丽. 超声引导下不同消融术对甲状腺良性结节体积缩减率、复发率的影响[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 80-83.
[5] 李伟, 宋子健, 赖衍成, 周睿, 吴涵, 邓龙昕, 陈锐. 人工智能应用于前列腺癌患者预后预测的研究现状及展望[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(06): 541-546.
[6] 曹能琦, 张恒, 郑立锋, 陶庆松, 嵇振岭. Ad-Hoc 自裁剪补片用于造口旁疝Sugarbaker 修补术[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 620-623.
[7] 皮尔地瓦斯·麦麦提玉素甫, 李慧灵, 艾克拜尔·艾力, 李赞林, 王志, 克力木·阿不都热依木. 生物补片修补巨大复发性腹壁切口疝临床疗效分析[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 624-628.
[8] 马东扬, 李斌, 陆安清, 王光华, 雷文章, 宋应寒. Gilbert 与单层补片腹膜前疝修补术疗效的随机对照研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 629-633.
[9] 王浩源, 汪海洋, 孙建明, 陈以宽, 祁小桐, 唐博. 腹腔镜与开放修补对肝硬化腹外疝患者肝功能及凝血的影响[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 654-659.
[10] 周正阳, 陈凯, 仇多良, 邵乐宁, 吴浩荣, 钟丰云. 腹腔镜腹股沟疝修补术后出血原因分析及处理[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 660-664.
[11] 顾熙, 徐子宇, 周澍, 张吴楼, 张业鹏, 林昊, 刘宗航, 嵇振岭, 郑立锋. 腹股沟疝腹膜前间隙无张力修补术后补片感染10 例报道[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 665-669.
[12] 宋俊锋, 张珍珍. 单侧初发性腹股沟斜疝老年患者经腹腹膜前疝修补术中残余疝囊腹直肌下缘固定效果评估[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 670-674.
[13] 公宇, 廖媛, 尚梅. 肝细胞癌TACE术后复发影响因素及预测模型建立[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 818-824.
[14] 焦振东, 惠鹏, 金上博. 三维可视化结合ICG显像技术在腹腔镜肝切除术治疗复发性肝癌中的应用[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 859-864.
[15] 郭曌蓉, 王歆光, 刘毅强, 何英剑, 王立泽, 杨飏, 汪星, 曹威, 谷重山, 范铁, 李金锋, 范照青. 不同亚型乳腺叶状肿瘤的临床病理特征及预后危险因素分析[J/OL]. 中华临床医师杂志(电子版), 2024, 18(06): 524-532.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?